Related Experiment Video
Updated: Jun 26, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
[Repair of large defects in upper extremities with pedicled combined flap]
Xu Huang1, Ting-Hong Xie, Xing-Hua Yang
1The Burns & Plastic Surgery Department of Xiangya Hospital, Central South University, Changsha 410008, China.
Objective:
To explore the flap transposition for repairing large defects in upper extremities.
Methods:
12 cases with large defects in elbow, forearm, wrist or palm caused by high-voltage electricity, hot-pressure or crush, were treated. 4 cases were treated with latissimus dorsal myocutaneous flaps combined iliolumbar flaps. 2 cases were treated with latissimus dorsal myocutaneous flaps combined lateral thoracic flaps. 6 cases were treated with large combined thoracic-abdomen flaps.
Results:
All the flaps survived except for one flap with 2 cm distal necrosis and sub-flap infection. Satisfactory results were achieved.
Conclusions:
Early debridement and reconstruction with pedicled combined flaps are feasible and reliable for large defects in the upper extremities.