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Related Experiment Video

Updated: Jul 4, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Vascularized calvarial bone flaps and midface reconstruction.

Steven P Davison1, Ali N Mesbahi, Mark W Clemens

  • 1Washington, D.C. From the Department of Plastic Surgery, Georgetown University Medical Center, and the Department of Otolaryngology, Washington Hospital Center.

Plastic and Reconstructive Surgery
|July 3, 2008
PubMed
Summary

Vascularized calvarial bone grafts, supported by temporoparietal fascia and temporalis muscle, offer excellent reconstruction for complex midface defects. This technique effectively provides bone stock and soft-tissue coverage, resisting resorption and infection.

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Sutures of the Skull01:22

Sutures of the Skull

The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...

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Area of Science:

  • Craniofacial surgery
  • Reconstructive surgery
  • Oncologic reconstruction

Background:

  • Vascularized calvarial bone grafts, initially for midface hypoplasia, are valuable in oncologic midface reconstruction.
  • Temporalis and temporoparietal flaps provide vascularized bone for complex defects.

Observation:

  • A review of eight cases demonstrated the versatility and dependability of vascularized calvarial grafts.
  • The study focused on reconstructing orbit and upper maxillectomy defects.

Findings:

  • Reconstruction achieved adequate bony and soft-tissue contours without graft resorption.
  • No immediate complications like infection or hematoma were observed; one delayed sinusitis occurred.

Implications:

Related Experiment Videos

Last Updated: Jul 4, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

  • Vascularized calvarial grafts ensure robust bone stock and soft-tissue coverage for complex reconstructions.
  • Maintaining graft vascularization prevents infection and bone resorption, crucial in compromised surgical sites.