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Updated: Jun 23, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Paramedian forehead flap thinning using a flexible razor blade.

Hilda Justiniano¹, Julia Edwards, Daniel B Eisen

¹Procedural Dermatology Fellow, University of California, Davis, School of Medicine, Department of Dermatology, Sacramento, California.

Dermatology Online Journal

|April 22, 2009

Summary

A new technique uses a Dermablade to thin paramedian forehead flaps for nasal reconstruction. This method helps match flap contours to the recipient site, improving surgical outcomes for nasal defects.

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Dermatology

Background:

Large or deep nasal defects often require reconstructive surgery.
Paramedian forehead flaps are a common option for nasal defect repair.
Flap thinning is crucial for optimal aesthetic and functional outcomes.

Purpose of the Study:

To describe a novel technique for thinning the distal portion of paramedian forehead flaps.
To introduce the use of a flexible razor blade (Dermablade) for flap modification.
To provide a reproducible method for improving flap contour matching.

Main Methods:

A technique utilizing a flexible razor blade, the Dermablade, is detailed.
The method focuses on thinning the distal part of the paramedian forehead flap.

Related Experiment Videos

Last Updated: Jun 23, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

The procedure is demonstrated for application in nasal reconstruction.

Main Results:

The Dermablade technique allows for precise thinning of the flap.
This method facilitates better contour matching of the flap to the recipient nasal site.
The technique is effective in preparing the flap for large or deep defects.

Conclusions:

The Dermablade offers a safe and effective way to thin paramedian forehead flaps.
This technique can enhance the aesthetic results of nasal reconstruction.
The described method is adaptable for thinning other interpolation flaps.