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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Soft-tissue reconstruction of external hemipelvectomy defects.
Alex Senchenkov1, Steven L Moran, Paul M Petty
1Rochester, Minn. From the Division of Plastic and Reconstructive Surgery, the Department of Orthopedics, and the Division of Biostatistics, Mayo Clinic.
Plastic and Reconstructive Surgery
|July 2, 2009
Summary
External hemipelvectomy surgery often leads to wound complications. Musculocutaneous hemipelvectomy flaps are effective for primary closure, but secondary reconstruction may be needed for complex cases.
Area of Science:
- Surgical Oncology
- Reconstructive Surgery
- Pelvic Surgery
Background:
- External hemipelvectomy is a critical salvage procedure for advanced pelvic conditions.
- High wound morbidity is a significant challenge following hemipelvectomy.
- This study evaluates reconstruction strategies for hemipelvectomy wounds.
Purpose of the Study:
- To analyze the incidence of soft-tissue coverage issues after hemipelvectomy.
- To assess the effectiveness of primary and secondary reconstruction methods for hemipelvectomy wounds.
Main Methods:
- Retrospective review of 160 consecutive hemipelvectomy patients.
- Identification of soft-tissue coverage problems and their management approaches.
Main Results:
- Musculocutaneous hemipelvectomy flaps provided closure in most cases (159/160).
- Wound complications occurred in 39% of patients, with 31% requiring débridement.
- Secondary reconstruction utilized local flaps, skin grafts, and pedicled flaps.
Conclusions:
- Hemipelvectomy is associated with substantial wound morbidity.
- Musculocutaneous hemipelvectomy flaps minimize hernia risk.
- Secondary reconstruction, particularly with contralateral rectus abdominis flaps, is vital for managing complications.
