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Updated: Jun 4, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
[Application of temporal-zygomatic expanded flaps pedicled with orbicularis oculi muscle for sub-orbital defects]
Wen Chen1, Yang-qun Li, Yoang Tang
1Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, China.
Objective:
To investigate the therapeutic effect of temporal-zygomatic expanded flaps pedicled with orbicularis oculi muscle (00M) for sub-orbital defects.
Methods:
16 cases with sub-orbital defects were treated. The expanders were implanted at temporal-zygomatic region at the first stage. At the second stage, temporal-zygomatic expanded flaps pedicled with OOM were designed and transferred to repair the suborbital defects.
Results:
All the expanded flaps survived completely. 11 cases were followed up for 3 months to 3 years. The flaps had no contracture with a good match of color and texture with surrounding tissue. The scar was also inconspicious.
Conclusions:
The temporal-zygomatic expanded flaps can be used for large size defects below orbit. It is very flexible, leaving minimal morbidity for the whole face.
