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Updated: Jul 13, 2026
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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
[Using pedicled mandibular osteomuscular flap in orbital reconstruction]
Robert Kowalczyk1, Sylwester Kowalik, Mieczysław Sulikowski
1Klinika Chirurgii Szczekowo-Twarzowej Pomorskiej AM w Szczecinie.
Otolaryngologia Polska = the Polish Otolaryngology
|August 3, 2007
Summary
Orbital floor reconstruction can be effectively achieved using a vascularized bone graft from the mandible's coronoid process. This technique offers a viable solution for complex facial reconstruction surgeries.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Anatomy
Context:
- Orbital floor defects often require complex reconstruction.
- Traditional methods may have limitations in achieving optimal outcomes.
- The coronoid process of the mandible is an accessible anatomical structure.
Purpose:
- To describe a novel technique for orbital floor reconstruction.
- To evaluate the clinical efficacy of using a vascularized coronoid process graft.
- To assess the graft's suitability for facial reconstruction.
Summary:
- A surgical method for orbital floor reconstruction was developed.
- The technique utilizes a bone graft pedicled from the mandible's coronoid process, preserving its vascular supply via the temporal muscle.
- Clinical assessment validated the graft's successful integration and utility in reconstructive surgery.
Impact:
- Demonstrates a reliable and effective method for orbital floor reconstruction.
- Highlights the potential of the coronoid process as a source for vascularized bone grafts.
- Contributes to advancements in facial reconstructive surgery techniques.