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Updated: May 7, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Local flaps: cheek and lip reconstruction.

Jon-Paul Pepper¹, Shan R Baker

¹Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles.

JAMA Facial Plastic Surgery

|September 21, 2013

Summary

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Detailed knowledge of facial anatomy is critical for successful cheek and lip reconstruction using local flaps. Advancements in vascular anatomy and perforator flaps are improving outcomes for complex defects.

Area of Science:

Facial plastic and reconstructive surgery
Anatomy
Surgical techniques

Background:

Cutaneous defects of the cheek and lip significantly impact patient quality of life.
Reconstruction of these defects is a fundamental surgical skill.

Purpose of the Study:

To review new findings impacting local flap planning for cheek and lip reconstruction.
Integrate recent research on facial soft-tissue and vascular anatomy.

Main Methods:

Medline search (1980-present) for literature on cheek and lip reconstruction.
Keywords: vascular anatomy, soft-tissue anatomy, perforator flap, outcomes.
Prioritized cadaveric and comparative outcome studies.

Main Results:

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Last Updated: May 7, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

The V-Y subcutaneous tissue pedicle island advancement flap is effective for large medial cheek and upper lip defects.
Outcomes analyses for local flap reconstruction are highly sought.
Pedicled perforator flaps are expected to increase in use for facial reconstruction.

Conclusions:

Thorough understanding of cheek and lip soft-tissue anatomy is essential for surgical planning.
Local flap reconstruction requires precise anatomical knowledge for optimal results.