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Updated: Apr 22, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Microvascular Free Flap for Total Eyelid Reconstruction With a Visually Useful Eye
Larissa K Ghadiali1, Payal Patel, Jamie P Levine
1*Department of Ophthalmology, New York Medical College, Valhalla, New York, U.S.A.; †Department of Ophthalmology, New York University School of Medicine, New York, New York, U.S.A.; ‡Institute of Reconstructive Plastic Surgery, New York University School of Medicine, New York, New York, U.S.A.; §Department of Plastic Surgery, New York University School of Medicine, New York, New York, U.S.A.; and ‖Department of Ophthalmology, Mayo Clinic, Jacksonville, Florida, U.S.A.
Abstract:
Total eyelid loss, full thickness loss of the upper and lower eyelids, is uncommon and surgically challenging. Eyelid reconstruction after such injuries can be further complicated by loss of adjacent tissue. When tissue for local flaps is unavailable, free flaps must be considered. Few cases of total eyelid reconstruction via microvascular free flap have been reported, especially with an intact globe and good visual acuity. In this report, we describe the use of a microvascular free flap based on the radial artery for total eyelid reconstruction in a patient with an intact globe and useful visual acuity.
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