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Updated: Jun 23, 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

Midface reconstruction with various flaps based on the angular artery.

Young-Joon Seo1, Chul Hwang, Sangmun Choi

  • 1Department of Dermatology, College of Medicine, Chungnam National University, Daejeon, South Korea.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|May 19, 2009
PubMed
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This study introduces new midface reconstruction techniques using angular artery flaps. These methods offer reliable and esthetically acceptable solutions for nasal and eyelid defects.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Anatomy

Background:

  • Midface reconstruction presents challenges due to complex anatomy, functional demands, and esthetic outcomes.
  • Existing methods often have donor site morbidities and suboptimal results.

Observation:

  • Cadaveric studies elucidated the angular artery's relationship with surrounding structures.
  • Clinical application demonstrated the feasibility of retroangular and island composite nasal flaps.

Findings:

  • The angular artery proved reliable as a pedicle in both antegrade and retrograde applications.
  • Retroangular flaps effectively reconstructed lower nose and eyelid defects.
  • Island composite nasal flaps addressed upper nose and medial canthal area defects.

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Implications:

  • Precise understanding of the angular artery's anatomy is crucial for successful reconstruction.
  • Retroangular and island composite nasal flaps represent valuable options for treating midface defects.
  • These techniques may improve functional and esthetic outcomes in midface reconstruction.