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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
The lateral triangle flap--a new approach for lateral orbitotomy
1Sydney Hospital and Sydney Eye Hospital, Sydney, NSW, Australia. nemeta@yahoo.com
Orbit (Amsterdam, Netherlands)
|July 7, 2007
Summary
This study introduces the lateral triangle flap technique for orbital surgery. This method provides excellent surgical access and cosmetic outcomes for lateral orbital procedures.
Area of Science:
- Ophthalmic Surgery
- Neurosurgery
- Anatomy
Background:
- Lateral orbitotomy provides access to orbital spaces lateral to the optic nerve.
- Current techniques may have limitations in exposure or cosmetic results.
Purpose of the Study:
- To present the novel lateral triangle flap technique for orbital access.
- To evaluate its efficacy in providing surgical exposure and cosmetic outcomes.
Main Methods:
- A specific incision pattern creating a triangular skin-muscle flap based at the canthal angle.
- The flap allows access to the lateral and superolateral orbital wall.
- Bone removal or flap creation for deep lesion access.
Main Results:
- The lateral triangle flap technique offers maximal exposure of the lateral orbital wall.
- It facilitates lateral orbital decompression and access to deep orbital lesions.
- The technique yields excellent postoperative cosmetic results.
Conclusions:
- The lateral triangle flap is an effective surgical approach for lateral orbital access.
- It provides superior exposure and favorable cosmetic results compared to traditional methods.
