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Updated: May 10, 2026

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Helical rim reconstruction using two bi-pedicled tube flaps
Kevin Mowbrey1, Gordon H Wilkes
1University of Alberta, Faculty of Medicine and Dentistry, 1435 Herring Cooper Way, Edmonton, AB T6R 2L9, Canada.
Summary
Bi-pedicled tube flaps offer a reconstructive solution for ear deformities caused by thermal injury. This technique can restore the helical rim, improving patient satisfaction when applied correctly.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Reconstructive Surgery
Background:
- Thermal injuries frequently cause auricular deformities, impacting patients psychosocially.
- Reconstruction of the helical rim presents significant surgical challenges.
Observation:
- Bi-pedicled tube flaps are a viable reconstructive option for the helical rim.
- This case report details the strengths and weaknesses of this specific flap technique.
Findings:
- Appropriate patient selection and technique are crucial for successful helical rim repair.
- The bi-pedicled tube flap can restore natural contours and achieve superior aesthetic outcomes.
Implications:
- This reconstructive method can lead to high patient and surgeon satisfaction.
- Understanding the flap's utility is key for optimizing treatment of auricular deformities.