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Updated: Jun 23, 2026
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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Microvascular reconstruction of the orbital complex
Jeffrey S Moyer1, Douglas B Chepeha, Mark E P Prince
1University of Michigan Medical Center, 1500 East Medical Center Drive, TC1904, Ann Arbor, MI 48109, USA.
Facial Plastic Surgery Clinics of North America
|April 28, 2009
Summary
Free tissue transfer is crucial for reconstructing large orbitomaxillary defects caused by extensive malignancies. This technique reliably separates intracranial and extracranial compartments, restoring complex facial structures.
Area of Science:
- Oncology
- Plastic Surgery
- Craniofacial Reconstruction
Background:
- Extensive malignancies of the skin, paranasal sinuses, and skull base frequently invade the orbit.
- Orbital content removal is often necessary for achieving local tumor control.
Observation:
- Such resections create significant defects, establishing intracranial-extracranial communication.
- These defects involve substantial skin, soft tissue, and bone loss.
- Local and regional tissues are typically insufficient for adequate repair.
Findings:
- Free tissue transfer offers vascularized tissue (skin, soft tissue, bone) for reconstruction.
- This method effectively separates cranial and facial compartments.
- It restores the bony and soft tissue architecture of the orbitomaxillary complex.
Implications:
- Free tissue transfer is a reliable solution for complex orbitomaxillary defects.
- It is essential for the functional and aesthetic rehabilitation of patients.
- This approach improves outcomes in managing extensive head and neck cancers.
