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Updated: Apr 28, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Super-microdissected local flaps for the coverage of temporal defects.

Q Qassemyar1, M Gianfermi, B Sarfati

  • 1Department of Plastic and Reconstructive Surgery, Gustave Roussy Cancer Campus, Grand Paris, 114 Rue Edouard Vaillant, F-94805, Villejuif, France; Department of Anatomy, University of Picardie, rue des Louvels, 80000, Amiens, France; Department of Plastic Surgery, Amiens Hospital, place Victor Pauchet, 80000, Amiens, France.

Microsurgery
|June 5, 2014
PubMed
Summary

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[The role of the plastic surgeon in the management of breast cancer].

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Superficial temporal artery capillary perforator-based island flap for conchal bowl and external auditory canal reconstruction.

Annales de chirurgie plastique et esthetique·2022

Small branch (SB) flaps based on the superficial temporal artery (STA) offer a promising new option for reconstructing temporal defects. These local flaps provide cosmetic advantages and faster healing compared to traditional skin grafts.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Dermatologic Surgery

Background:

  • Skin grafts are a common method for temporal defects but have drawbacks like poor aesthetics and prolonged healing.
  • Existing local flaps for temporal defects can distort surrounding tissues, particularly the hairline and eyebrow.
  • Small branch (SB) flaps offer a potential alternative for temporal defect reconstruction.

Purpose of the Study:

  • To present a series of seven local flaps based on small branches (SB) of the superficial temporal artery (STA) for temporal defect coverage.
  • To discuss the advantages of SB flaps in reconstructing temporal defects.
  • To evaluate the cosmetic and functional outcomes of SB flaps.

Main Methods:

  • Supermicrodissection of SB of the STA was performed for flap creation.

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  • Reconstruction was performed in seven patients with temporal defects (4-6 cm diameter) after skin cancer excisions.
  • Procedures were primarily conducted under local anesthesia.

    • Main Results:

    • All seven SB flaps survived with a mean follow-up of 8 months.
    • Reconstructions achieved cosmetically pleasing results.
    • Operative times ranged from 55 to 75 minutes.

    Conclusions:

    • SB flaps represent a viable new option for temporal defect reconstruction, offering benefits of local flaps without pedicle inconvenience.
    • These flaps provide a cosmetically superior alternative to skin grafts.
    • The study suggests SB-based flaps may be applicable to moderate-sized defects elsewhere in the body, expanding reconstructive surgery options.