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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

The subcutaneous pulp flap for fingertip defects.

Dong Han¹, Hong-Tai Hu, Hao Jiang

¹Department of Plastic & Reconstructive Surgery, Ninth People's Hospital, Medical School of Shanghai Jiao Tong University, Shanghai, People's Republic of China.

The Journal of Hand Surgery

|February 26, 2008

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The subcutaneous pulp flap (SPF) technique offers a simple and safe method for fingertip reconstruction, covering exposed bone with local fatty tissue. While effective, this innovative approach requires a longer healing period compared to other treatments.

Area of Science:

Plastic Surgery
Reconstructive Surgery
Hand Surgery

Background:

Fingertip defects with exposed phalanx require effective reconstruction.
Existing procedures have varying donor site morbidity and complexity.

Purpose of the Study:

To introduce and evaluate the subcutaneous pulp flap (SPF) technique for fingertip defect reconstruction.
To assess the safety, efficacy, and outcomes of the SPF technique.

Main Methods:

A novel subcutaneous pulp flap (SPF) technique was developed using adjacent fatty tissue.
The flap was rotated to cover exposed bone in fingertip defects.
Postoperative care involved repeated moist dressings.

Main Results:

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

The SPF technique demonstrated a simple and safe method for reconstruction.

Minimal donor site defect and morbidity were observed.

A longer healing period was noted as a potential shortcoming.

Conclusions:

The subcutaneous pulp flap (SPF) is a viable and safe alternative for fingertip reconstruction.
The technique offers advantages in terms of simplicity and minimal donor site morbidity.
Further evaluation of the healing duration is warranted.