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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

'Switch flap' for full thickness upper eyelid reconstruction.

Arvind Krishnamurthy¹, Anitha Vaidhyanathan

¹Department of Surgical Oncology, Cancer Institute (WIA), 36, Sardar Patel Rd, Adyar, Chennai, India.

Journal of Cutaneous and Aesthetic Surgery

|October 7, 2011

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Sebaceous gland carcinoma, a rare skin cancer, often affects the eyelid and is challenging to reconstruct after surgery. The Switch flap procedure offers a viable alternative for repairing large eyelid defects, yielding good cosmetic and functional results.

Area of Science:

Ophthalmology
Dermatology
Surgical Oncology

Background:

Sebaceous gland carcinoma is an aggressive, rare cutaneous malignancy.
Approximately 75% of these tumors occur in the periocular region.
Delayed diagnosis is common due to misidentification as benign conditions.

Observation:

Surgical excision is the primary treatment for sebaceous gland carcinoma.
Tumor removal often results in full-thickness eyelid defects.
Reconstruction of these defects presents significant surgical challenges.

Findings:

Traditional eyelid sharing procedures like the Cutler-Beard flap are commonly used.
The Switch flap is an alternative eyelid sharing technique, though less common.
Successful reconstruction of a large full-thickness upper eyelid defect was achieved using the Switch flap.

Keywords:

Eyelid reconstruction eyelid tumours switch flap

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Surgical Correction for Pediatric Epiblepharon and Trichiasis

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Implications:

The Switch flap provides a satisfactory option for complex eyelid defect reconstruction.
This technique can achieve favorable cosmetic and functional outcomes.
It expands reconstructive options for periocular malignancies.