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Updated: Jun 19, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Visor flap for total upper and lower lip reconstruction: a case report.

Peter Nthumba¹, Louis Carter

¹Department of Surgery, AIC Kijabe Hospital Kijabe 00220, Kenya Africa.

Journal of Medical Case Reports

|October 16, 2009

Summary

Noma survivors often face severe facial disfigurement. A novel scalp visor flap technique successfully reconstructed total upper and lower lips, beard, and moustache in a male patient, offering hope for noma treatment.

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Global Health

Background:

Noma, the 'face of poverty,' is a devastating disease with a 90% mortality rate, primarily affecting children in sub-Saharan Africa.
Survivors endure severe facial disfigurement due to tissue loss and scarring, posing significant reconstructive challenges, particularly in resource-limited settings.

Purpose of the Study:

To present a successful surgical technique for extensive facial reconstruction in a noma survivor.
To highlight the efficacy of the scalp visor flap in total lip and facial hair reconstruction.

Main Methods:

Case report of a 40-year-old Somali man with severe facial disfigurement, including complete absence of lips.
Utilized a combination of platysma and deltopectoral flaps for mucosal lining.

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Last Updated: Jun 19, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Employed a scalp visor flap for simultaneous reconstruction of upper and lower lips, beard, and moustache.

Main Results:

The scalp visor flap successfully recreated the upper and lower lips, beard, and moustache.
Achieved a functional and aesthetic restoration of the patient's midface.
Demonstrated the versatility of the scalp visor flap in complex male facial reconstruction.

Conclusions:

The scalp visor flap is a versatile and effective tool for midfacial reconstruction, particularly in male patients requiring neo-lip and facial hair restoration.
This case represents the first reported simultaneous total upper and lower lip reconstruction using a scalp visor flap in the English literature.
Emphasizes the importance of skill transfer to empower local surgeons in managing noma reconstruction challenges.