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Updated: May 6, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Reconstruction of a congenital upper eyelid coloboma using a lamellar-based technique
Hwa Lee1, Yasuhiro Takahashi, Akihiro Ichinose
1*Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi, Japan; †Department of Ophthalmology, Korea University College of Medicine, Ansan, Korea; and ‡Department of Plastic Surgery, Kobe University School of Medicine, Kobe, Hyogo, Japan.
Abstract:
A 17-year-old woman presented with a left upper eyelid coloboma from birth, extending from the lateral side of the punctum to the center of the eyelid as much as 10 mm in width. The posterior lamella (tarsus) was lost completely in this area, but an anterior lamella defect was limited to 1 to 2 mm in height. The area was devoid of eyelashes. Part of the medial tarsal plate was spared. The anterior and posterior lamellae of this eyelid were separately reconstructed with an anterior skin crease incision and posterior wedge excision with a good cosmetic outcome.

