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Updated: May 8, 2026
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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
[The application of expanded forehead flap in reconstructing defects around nasal tip]
Nengqiang Guo1, Jiaming Sun, Xiaoling Feng
1Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. guonengqiang@yahoo.com.cn
Summary
The expanded forehead flap offers a safe and effective method for nasal tip reconstruction, achieving excellent aesthetic and functional outcomes. This technique provides a reliable solution for complex nasal defects.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Context:
- Nasal tip defects pose significant reconstructive challenges.
- Standardized and rational repair methods are needed for optimal outcomes.
Purpose:
- To evaluate the efficacy of the expanded forehead flap for nasal tip defect repair.
- To establish a standard and rational surgical approach.
Summary:
- A three-stage surgical technique involving tissue expander implantation, flap reconstruction with supra-trochlear vessels, and optional cartilage grafting was employed.
- Seventeen patients with nasal tip defects underwent successful reconstruction using expanded forehead flaps.
- The flaps demonstrated excellent survival rates, leading to satisfactory aesthetic appearance and improved nasal ventilation.
Impact:
- The expanded forehead flap is an ideal reconstructive option for nasal tip defects.
- This method offers advantages including safety, superior aesthetics, color match, and concealed donor site scarring.
