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Related Experiment Video

Updated: Jun 15, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Reconstruction of temporal and suprabrow defects.

Stephen M Warren¹, Barry M Zide

¹Institute of Reconstructive Plastic Surgery, New York University School of Medicine, New York, NY, USA.

Annals of Plastic Surgery

|February 25, 2010

Summary

A new modified scalp flap technique effectively reconstructs challenging temple and suprabrow lesions. This method preserves eyebrow position and avoids facial nerve injury, offering a reliable surgical solution.

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Area of Science:

Plastic Surgery
Reconstructive Surgery

Background:

Reconstructing large temple and suprabrow lesions, especially those extending anterior to the hairline, presents significant challenges for achieving aesthetically pleasing outcomes.
Designing local flaps that maintain eyebrow position and avoid facial nerve injury can be difficult in these complex cases.

Observation:

A modified scalp flap, combining elements of the Converse scalping flap and scalp rotation flap, was developed.
The flap is raised in a subgaleal plane and then dissected in a subcutaneous plane anteriorly to protect the frontal branch of the facial nerve.
Dissection planes are altered to protect nerves and vessels, with temporal dog-ear removal facilitating flap rotation and preserving the superficial temporal artery.

Findings:

The modified scalp flap was successfully used in 10 patients (ages 4 months to 22 years) for temple and suprabrow lesion reconstruction.

Related Experiment Videos

Last Updated: Jun 15, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

This single-stage procedure reconstructs lesions by extending the flap from hair-bearing scalp to the forehead glabrous skin.

No complications were reported in the patient cohort, demonstrating the safety and efficacy of the technique.

Implications:

This novel modified scalp flap offers a versatile and safe method for reconstructing difficult temple and suprabrow defects.
The technique effectively prevents eyebrow and hairline distortion, crucial for cosmetic outcomes.
It provides a reliable approach to avoid facial nerve injury during reconstruction of these sensitive facial areas.