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Updated: Jun 21, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Maxillary reconstruction using a bipedicled osteocutaneous scapula flap.

I Yoshioka¹, Y Yamashita, A Khanal

¹Division of Oral Diagnostic and Surgical Science, Department of Oral and Maxillofacial Surgery, Kyushu Dental College, Kitakyushu, 803-8580 Japan. yoshioka@kyu-dent.ac.jp

International Journal of Oral and Maxillofacial Surgery

|August 12, 2009

Summary

Reconstructing extensive maxillary defects is challenging. Angular branch artery pedicled scapular bone flaps (SBF) offer a stable solution, improving function and aesthetics with minimal complications.

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Area of Science:

Oral and Maxillofacial Surgery
Plastic and Reconstructive Surgery
Oncology

Background:

Extensive maxillary defects pose challenges for prosthetic rehabilitation and obturator use.
Current reconstructive methods often struggle to provide stable biomechanical support.

Observation:

This study reviewed four cases of wide maxillary defect reconstruction between 2004 and 2007.
The reconstructions utilized angular branch artery pedicled scapular bone flaps (SBF), with or without latissimus dorsi musculocutaneous flaps (LDMF).
Three cases involved combined LDMF and SBF, while one case used SBF alone.

Findings:

Satisfactory functional and aesthetic outcomes were achieved, including improvements in facial contour, appearance, speech, swallowing, and breathing.
The angular artery pedicled SBF provided a wider arc of rotation and sufficient pedicle length for maxillary reconstruction.

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Last Updated: Jun 21, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

No significant donor site complications or restricted shoulder mobility were observed; one minor flap infection was the only complication.

Implications:

The angular branch artery pedicled SBF is a viable and effective technique for reconstructing extensive maxillary defects.
This method offers functional and aesthetic benefits, superior to traditional obturators.
The procedure's success highlights the utility of vascularized bone flaps in complex head and neck reconstructions.