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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Periorbital reconstruction with the expanded pedicled forehead flap
Alexander Margulis1, Dalit Amar, Allen Billig
1From the Department of Plastic Surgery, Hadassah Medical Center, Hebrew University School of Medicine, Jerusalem, Israel.
Annals of Plastic Surgery
|August 2, 2013
Summary
The expanded pedicled forehead flap offers a safe and effective method for periorbital reconstruction. This technique provides excellent aesthetic and functional outcomes for eyelid and canthal defects.
Area of Science:
- Plastic Surgery
- Ophthalmology
- Reconstructive Surgery
Background:
- Periorbital region reconstruction is complex due to intricate anatomical structures.
- Existing literature details various techniques for eyelid and canthal reconstruction.
- The expanded pedicled forehead flap is presented as a versatile surgical option.
Purpose of the Study:
- To evaluate the efficacy of the expanded pedicled forehead flap for periorbital reconstruction.
- To assess the aesthetic and functional outcomes of this surgical technique.
- To determine the safety and reliability of the expanded pedicled forehead flap.
Main Methods:
- A tissue expander was serially expanded under forehead skin.
- Flap pedicles were designed for reconstruction of eyelids and canthal areas.
- Fifteen patients with periorbital defects (nevi or scarring) were treated between 2003-2012.
Main Results:
- 13 patients had uneventful operative and postoperative courses.
- Aesthetic and functional results were very good, with excellent skin match.
- No partial or complete flap loss was observed; minimal donor-site morbidity.
Conclusions:
- The expanded pedicled forehead flap is a safe and reliable reconstructive method.
- The technique yields good aesthetic and functional results for periorbital defects.
- Minimal donor-site morbidity is associated with this procedure.
