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Updated: Jun 12, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Is oval flap reconstruction a good modification for treating pilonidal sinuses?

Cafer Polat¹, Bulent Gungor, Servet Karagul

¹Department of Surgery, Ondokuz Mayis University, Samsun, Turkey. caferpolat@omu.edu.tr

American Journal of Surgery

|June 12, 2010

Summary

This study introduces an oval flap modification for pilonidal sinus surgery, showing reduced complications and recurrence. Patients reported high satisfaction with cosmetic outcomes.

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Area of Science:

Surgical Innovation
Plastic and Reconstructive Surgery
Proctology

Background:

Flap techniques are established for pilonidal sinus treatment.
This study evaluates a novel modification of the rhomboid flap technique.

Purpose of the Study:

To assess the efficacy of a modified rhomboid flap technique for pilonidal sinus treatment.
To evaluate complication rates, recurrence, and cosmetic outcomes.

Main Methods:

A cohort of 133 patients with pilonidal disease underwent treatment between April 2004 and April 2009.
The pilonidal sinus was excised, and an oval head rhomboid flap was utilized to minimize flap necrosis.

Main Results:

The mean patient age was 27.4 years.
Minor postoperative complications occurred in 11.3% of patients.
The recurrence rate was low at 1.5%, with 87% of patients highly satisfied with cosmetic results.

Conclusions:

The oval flap reconstruction method is recommended for pilonidal sinus treatment.
This technique results in fewer ischemic flaps.
It offers a low recurrence rate and acceptable cosmetic results.