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Related Experiment Video

Updated: May 3, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Orbital floor reconstruction with free flaps after maxillectomy.

Leela Mohan C S R Sampathirao¹, Krishnakumar Thankappan¹, Sriprakash Duraisamy¹

¹Head and Neck Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

Craniomaxillofacial Trauma & Reconstruction

|January 18, 2014

Summary

Free flap reconstruction effectively restores orbital floor function after maxillectomy, preserving vision and improving aesthetics. Bony reconstruction may reduce abnormal globe position, warranting further investigation.

Keywords:

free flaps functional outcome head and neck cancer maxillectomy orbital floor reconstruction sinonasal cancer

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Last Updated: May 3, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

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Published on: December 5, 2025

Three-Dimensional Reconstruction of Orbital Fractures

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Published on: May 16, 2025

Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach

Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach

Published on: August 24, 2018

Area of Science:

Reconstructive surgery
Oral and maxillofacial surgery
Ophthalmology

Background:

Maxillectomy for malignancy often necessitates orbital floor removal.
Reconstruction challenges include functional and aesthetic restoration.
Free flaps offer a solution for complex orbital floor defects.

Purpose of the Study:

Evaluate outcomes of orbital floor reconstruction using free flaps post-maxillectomy.
Assess functional (vision, eye movement) and aesthetic results.
Compare bony versus soft tissue reconstruction outcomes.

Main Methods:

Retrospective analysis of 34 patients undergoing maxillectomy and free flap reconstruction.
Cross-sectional survey of 28 disease-free patients (≥6 months follow-up).
Assessment of visual acuity, eye movements, globe position, and aesthetic satisfaction.

Main Results:

Free fibula flap was most common (n=14).
86% had normal visual acuity; 92% had normal eye movements.
19 patients (68%) reported good aesthetic satisfaction.
Abnormal globe position occurred in 9 patients, more frequent with soft tissue reconstruction (p=0.040).

Conclusions:

Free tissue transfer significantly improves outcomes after total maxillectomy, preserving the eye.
Good functional and aesthetic results are achievable.
Bony reconstruction may be advantageous for globe position, requiring further study.