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Updated: May 9, 2026
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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Expansion orbitotomy: another approach to the orbital floor
Yong-Ha Kim1, Sung-Eun Kim, Tae Gon Kim
1Department of Plastic and Reconstructive Surgery, Yeungnam University Hospital, College of Medicine, Yeungnam University, Daegu, Republic of Korea. kimyon@ynu.ac.kr
The Journal of Craniofacial Surgery
|July 16, 2013
Summary
Orbital floor reconstruction is challenging due to narrow surgical fields. This modified technique simplifies restoring orbital contents by expanding bone defects, offering a less invasive approach for surgeons.
Area of Science:
- Ophthalmology
- Plastic and reconstructive surgery
- Maxillofacial surgery
Background:
- Orbital floor reconstruction presents challenges due to narrow operative fields.
- Orbital contents can become entrapped in bone defects, complicating restoration and risking soft tissue injury.
- Existing methods like Tessier infraorbital marginotomy are effective but invasive.
Purpose of the Study:
- To describe a modified Tessier inferior orbitotomy technique.
- To provide a simpler and less invasive surgical option for orbital floor reconstruction.
Main Methods:
- The study describes a modification of the Tessier inferior orbitotomy.
- The technique involves expanding the fractured orbital floor defect via osteotomy of the fractured margin.
Main Results:
- The modified technique simplifies the restoration of entrapped orbital contents.
- This approach is less invasive compared to traditional methods.
Conclusions:
- The modified Tessier inferior orbitotomy offers a simpler and less invasive solution for orbital floor reconstruction.
- This technique is particularly advantageous when orbital contents are entrapped within bone defects.
