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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
[Reconstruction of maxillary defects using a free scapular angle flap]
O C Bulut1, P A Federspil, P K Plinkert
1HNO-Universitätsklinik Heidelberg, Heidelberg, Deutschland.
HNO
|December 18, 2012
Summary
The scapular angle flap offers versatile reconstruction for maxillary defects, serving as an alternative to obturator prostheses. This method provides excellent facial contour and hard palate restoration.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
Background:
- Maxillary defects require surgical reconstruction beyond prosthetic options.
- Scapular flaps, including the scapular angle flap, are utilized for bony and soft-tissue reconstruction.
- The scapular angle flap uses the angular artery, distinct from the traditional scapular flap's circumflex scapular artery.
Observation:
- Four patients with maxillary defects post-malignancy resection underwent reconstruction using free scapular angle flaps.
- The study period was between 2009 and 2011, reporting successful outcomes.
Findings:
- Vertical flap positioning effectively reconstructs facial contours.
- Horizontal flap alignment and microvascular anastomosis facilitate hard palate reconstruction.
- The scapular angle flap's shape is suitable for hard palate restoration.
Implications:
- The scapular angle flap is a versatile option for maxillary reconstruction, offering low donor site morbidity.
- It serves as an alternative to obturator prostheses for defects of Grade I or higher.
- Bone quality for dental implant rehabilitation using this flap requires further investigation.
