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Updated: May 28, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Conchal defect correction by hinge flap and transposition flap.

Ramesh Bellam Alagirisamy¹

¹Department of Plastic Surgery, Melmaruvathur Adhiparasakthi Institute of Medical Science and Research, Melmaruvathur, Tamil Nadu, India.

Journal of Cutaneous and Aesthetic Surgery

|October 7, 2011

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This study presents a straightforward method for reconstructing small, full-thickness conchal defects using local ear flaps. The technique effectively restores the ear

Area of Science:

Otolaryngology
Plastic Surgery
Reconstructive Surgery

Background:

Full-thickness conchal defects, particularly old ones, present unique reconstructive challenges.
Existing literature offers limited descriptions for reconstructing small, through-and-through conchal defects.

Observation:

A novel, simple surgical technique is described for addressing these specific defects.
The method utilizes local tissue, specifically hinge flaps from the posterior ear surface and adjacent skin.

Findings:

The anterior aspect of the conchal defect is reconstructed using an anteriorly-based hinge flap from the posterior ear surface.
The remaining posterior defect is then closed with a local transposition flap sourced from adjacent skin.

Keywords:

Conchal defect ear boring ear reconstruction hinge flap transposition flap

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Implications:

This technique offers a viable and simple solution for small, full-thickness conchal defect reconstruction.
It highlights the utility of local flaps in auricular reconstruction, potentially improving patient outcomes and aesthetic results.