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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
891
Pericranial Flap for Inner Lining in Nasal Reconstruction
Serkan Sertel1, Philippe Pasche
1From the *Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital CHUV, Lausanne, Switzerland; †Department of Otorhinolaryngology, Head and Neck Surgery, University of Heidelberg, Heidelberg, Germany.
Annals of Plastic Surgery
|September 30, 2015
Summary
The pericranial flap (PF) can reconstruct the inner nasal lining, particularly for defects after tumor removal. Its vascularization, primarily from the supraorbital artery, supports its use in complex nasal and skull base reconstructions.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- Nasal reconstruction requires 3 layers: skin, cartilage, and mucosa.
- Inner lining reconstruction is challenging, especially after tumor resection.
- Pericranial flaps (PFs) are used in anterior skull base surgery.
Purpose of the Study:
- Evaluate the PF for inner nasal lining reconstruction.
- Assess its clinical application in patients with nasal and skull base tumors.
Main Methods:
- Anatomical cadaver study with silicone-injected supraorbital (SOA) and supratrochlear (STA) arteries.
- Clinical application in 4 patients with benign and malignant nasal/skull base tumors.
Main Results:
- SOA provided longer vascularization (70.7 mm) than STA (35 mm).
- PFs up to 70 mm were used for subtotal nasal reconstruction.
- Successful reconstruction in 3 patients; 1 experienced distal flap necrosis.
Conclusions:
- PF vascularity relies mainly on SOA arteries.
- Dissection should stop 15 mm above the orbital rim to ensure flap survival.
- PFs are suitable for combined nasocranial, septal, and nasal defects up to 70 mm length.
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