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Updated: Jul 7, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Total lower eyelid reconstruction with a prefabricated flap using auricular cartilage
Kazuo Kobayashi1, Hiroshi Ishihara, Ryuichi Murakami
1Department of Plastic and Reconstructive Surgery, Ehime Prefectural Central Hospital, Matsuyama, Japan. kobak@silver.plala.or.jp
Introduction:
Various methods have been reported for reconstructing the lower eyelid, but there is still the problem of creating a deep fornix and a supportive eyelid for housing an artificial eye.
Case Report:
A new prefabricated flap was developed using auricular cartilage and the lateral femoral circumflex vessels as vascular pedicles. This was applied in a 64-year-old male patient with total lower eyelid loss following an extended maxillectomy for tumour.
Conclusion:
The prefabricated flap described here showed more flexibility and a longer vascular pedicle, thus improving the applications for use in patients with limited recipient vessels yet without major sacrifice or deformity in the donor area.