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Updated: Apr 27, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Total upper eyelid reconstruction by single staged malar-cheek flap.
Rajeev B Ahuja1, Pallab Chatterjee1, Gaurav K Gupta1
1Department of Burns & Plastic Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi, India.
A novel technique reconstructs the upper eyelid using a lower eyelid flap and nasal septum graft. This method achieves excellent aesthetic and functional results for eyelid tumor excision patients.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Oncology
Background:
- Eyelid tumors necessitate surgical excision, often requiring complex reconstruction.
- Total upper eyelid reconstruction presents unique aesthetic and functional challenges.
Observation:
- A new surgical technique for total upper eyelid reconstruction was employed.
- The technique involved a horizontal, laterally based flap from the lower eyelid.
- A chondro-mucosal graft from the nasal septum was utilized.
Findings:
- The reconstruction resulted in an aesthetically excellent upper eyelid.
- The reconstructed eyelid demonstrated good mobility and proper gliding on the globe.
- Complete eye closure was successfully achieved post-surgery.
Implications:
- This technique offers a viable solution for total upper eyelid defects.
- It provides both aesthetic restoration and functional recovery of the eyelid.
- Further studies may explore the long-term outcomes and applicability in diverse cases.
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