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Updated: May 5, 2026

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
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Defect closure in the paranasal region: an enduring challenge
Stefan Riml1, Lorenz Larcher, Martin Grohmann
1Department for Plastic, Aesthetic and Reconstructive Surgery, Academic Hospital Feldkirch, Feldkirch, Austria.
International Journal of Dermatology
|December 11, 2013
Summary
Reconstructing paranasal defects is challenging due to complex anatomy. However, a growing range of surgical tools now enables excellent reconstructive outcomes for these challenging facial defects.
Area of Science:
- Plastic Surgery
- Facial Reconstruction
Background:
- The paranasal region presents significant reconstructive challenges due to its intricate anatomy and proximity to vital facial structures.
- Numerous surgical techniques, including skin grafts and various flap methods, have been developed for paranasal defect reconstruction.
Observation:
- This review examines established and novel reconstructive procedures for paranasal defects.
- A comparative analysis of classical and innovative techniques is presented, evaluating donor site morbidity, surgical complexity, and functional and aesthetic results.
Findings:
- The reconstruction of paranasal defects remains a complex surgical problem.
- A comprehensive review of existing and emerging reconstructive strategies is provided.
- The study includes photographic evidence from patient cases to illustrate outcomes.
Implications:
- Advances in reconstructive surgery offer improved solutions for paranasal defects.
- Surgeons now have an expanding array of techniques to achieve optimal functional and aesthetic results in paranasal reconstruction.
- This review aids in selecting appropriate reconstructive methods for paranasal region defects.
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