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Updated: Apr 16, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Reconstruction of the orbit with a temporalis muscle flap after orbital exenteration
Yavuz Uyar1, Tolgar Lütfi Kumral1, Güven Yıldırım1
1Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Reseach Hospital, Istanbul, Turkey.
Objectives:
This study presents the role of the temporalis muscle flap in primary reconstruction after orbital exenteration.
Methods:
A retrospective nonrandomized study of orbital exenterations performed between 1990 and 2010 for malignant tumors of the skin, paranasal sinus, and nasal cavity is presented.
Results:
The study included 13 patients (nine men, four women; age range, 30-82 years) with paranasal sinus, nasal cavity, or skin carcinomas. Primary reconstruction of the cavity was performed in all patients after orbital exenteration. No visible defects in the muscle flap donor site were present. Local recurrences were readily followed up with nasal endoscopy, whereas radiology helped to diagnose intracranial involvement in three patients. Two patients died of systemic metastases and five died for other reasons.
Conclusion:
The temporalis muscle flap is readily used to close the defect after orbital exenteration, and does not prevent the detection of recurrence.
