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Updated: Jun 3, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Total upper and lower eyelid reconstruction using an expanded forehead flap.

Malcolm A Lesavoy¹, Emil Kohan

¹Lesavoy Plastic Surgery Center, 16311 Ventura Blvd., Encino, CA 91436, USA. drlesavoy@aol.com

Annals of Plastic Surgery

|March 5, 2011

Summary

This summary is machine-generated.

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This study presents a unique expanded forehead flap technique for total upper and lower eyelid reconstruction in an adult with a contracted orbit. The procedure successfully restored aesthetics and provided support for an ocular prosthesis.

Area of Science:

Ophthalmology
Plastic Surgery
Reconstructive Surgery

Background:

Eyelid defect reconstruction requires careful consideration of injury, comorbidities, and surgical goals.
Traditional methods for eyelid reconstruction have shown variable success rates.

Observation:

A unique case of total upper and lower eyelid reconstruction is presented in an adult patient.
The patient had a contracted, anophthalmic left orbit with thin eyelids and minimal periorbital tissue due to childhood rhabdomyosarcoma and radiation therapy.

Findings:

An expanded forehead flap technique was utilized for the complete reconstruction of both upper and lower eyelids.
The procedure yielded a successful aesthetic outcome.
Adequate soft tissue support was achieved for the placement of an ocular prosthesis.

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Last Updated: Jun 3, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation

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Implications:

The expanded forehead flap is a viable and effective technique for complex eyelid reconstruction, particularly in cases of orbital contraction.
This approach offers both aesthetic improvement and functional restoration for prosthetic eye placement.
Highlights the importance of tailored surgical strategies for challenging reconstructive cases.