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Updated: May 16, 2026
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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Free flaps in orbital exenteration: a safe and effective method for reconstruction.
Fernando López1, Carlos Suárez, Susana Carnero
1Department of Otorhinolaryngology, Skull Base Unit, Instituto Universitario de Oncología del Principado de Asturias, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain. flopez_1981@yahoo.es
Summary
Free flaps offer a reliable method for reconstructing defects after orbital exenteration for cancer. The anterolateral thigh flap is a versatile option, demonstrating a high success rate in this reconstructive surgery.
Area of Science:
- Plastic Surgery
- Oncology
- Ophthalmology
Background:
- Orbital exenteration for malignancy necessitates complex reconstruction.
- Free flap transfer is a key technique for restoring orbital and periorbital structures.
Purpose of the Study:
- To evaluate the outcomes of free flap reconstruction following orbital exenteration for cancer.
- To assess the efficacy and safety of different free flap options.
Main Methods:
- Retrospective review of 21 patients undergoing 22 free flap reconstructions.
- Analysis of demographics, histology, surgical techniques, complications, and oncologic outcomes.
- Evaluation of flap success rates, locoregional control, and survival.
Main Results:
- Anterolateral thigh flaps were most common (56%), followed by radial forearm (22%) and parascapular (22%).
- Overall flap success rate was 91%, with 33% of patients experiencing complications.
- Five-year locoregional control and survival rates were 42% and 37%, respectively.
Conclusions:
- Free tissue transfer is a safe and effective reconstructive method for post-oncologic orbital defects.
- The anterolateral thigh flap is a highly versatile choice for orbital defect reconstruction.