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Updated: Jun 17, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
The east-west advancement flap (horizontal advancement flap) to repair a defect on the nose ala
A Ascari-Raccagni1, A Dondas, Mg Righini
1Department of Dermatology, Dermatological Surgery Unit, GB Morgagni-L Pierantoni General Hospital, via Forlanini, Forli, Italy. ascrac@libero.it
Background:
The repair of an alar nasal defect is a frequent challenge for dermatologic surgeons for reasons of the high rate of non-melanoma cancers in the area.
Objective:
Our aim was to describe the use of an east-west cheek-based flap (horizontal advancement flap) to repair a surgical defect on the nose ala.
Methods:
Benefits and limits of this surgical procedure are evaluated.
Result:
The resulting S-shaped scar was well-camouflaged among the natural skin lines (melolabial fold and melonasal junction). No architectural distortion of the nose resulted from the procedure.
Conclusion:
In selected patients with small-to-medium-size defects of the nasal ala, the horizontal advancement flap is a simple, reliable and aesthetic reconstruction option.
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Assessment:
1. Clinical Evaluation:
History: