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Related Experiment Video

Updated: Jun 22, 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

Reconstruction after extended orbital exenteration using a fronto-lateral flap.

M L Rodrigues1, H F Köhler, J C M Faria

  • 1Department of Head and Neck Surgery and Otolaryngology, Hospital A C Camargo, Rua Antônio Prudente 211, São Paulo, Brazil.

International Journal of Oral and Maxillofacial Surgery
|June 2, 2009
PubMed
Summary

Orbital exenteration reconstruction using a lateral frontal flap offers a safe and effective solution for advanced eyelid neoplasms. This technique provides reliable closure and obliteration, minimizing complications for high-risk patients.

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Area of Science:

  • Plastic Surgery
  • Ophthalmology
  • Oncology

Background:

  • Orbital exenteration for advanced eyelid neoplasms causes significant patient distress.
  • Reconstruction requires functional, aesthetic, and oncologically safe outcomes.
  • Ideal reconstruction necessitates cutaneous coverage, rapid healing, sinus obliteration, radiotherapy resistance, low morbidity, and good rehabilitation.

Purpose of the Study:

  • To evaluate the efficacy of a lateral frontal artery flap for immediate orbital exenteration reconstruction.
  • To assess functional and aesthetic outcomes, safety, and complication rates.

Main Methods:

  • A flap based on the frontal branch of the temporal artery was used in 10 patients.
  • Flap elevation included skin, subcutaneous tissue, and frontal muscle, elevated above the periosteum and galea.

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Three-Dimensional Reconstruction of Orbital Fractures
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Three-Dimensional Reconstruction of Orbital Fractures

Published on: May 16, 2025

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Last Updated: Jun 22, 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

Three-Dimensional Reconstruction of Orbital Fractures
08:18

Three-Dimensional Reconstruction of Orbital Fractures

Published on: May 16, 2025

  • The flap was rotated tension-free to reconstruct the orbital defect.

    • Main Results:

    • All patients achieved adequate defect closure and orbital cavity obliteration.
    • No flap loss or major complications were reported.
    • The lateral frontal flap demonstrated ease of execution, reliable blood supply, and a reproducible technique.

    Conclusions:

    • The lateral frontal flap is a viable and safe option for immediate orbital exenteration reconstruction.
    • It is particularly suitable for patients with orbital defects and high surgical risks, including contraindications for microsurgery.