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Updated: Mar 21, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
867
[Advanced orbicularis oculi muscle flap for eyelid defect]
Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery
|May 21, 2016
Summary
The advanced orbicularis oculi muscle (OOM) flap effectively reconstructs eyelid defects, offering a reliable solution with good cosmetic results and minimal donor site morbidity. This technique ensures satisfactory flap survival and aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Ophthalmology
- Reconstructive Surgery
Background:
- Eyelid defects pose reconstructive challenges.
- The orbicularis oculi muscle (OOM) flap is a potential surgical option.
Purpose of the Study:
- To evaluate the application and therapeutic efficacy of the advanced OOM flap for eyelid defects.
Main Methods:
- Uni-pedicle or bi-pedicle advanced OOM flaps were designed based on defect characteristics.
- Flap sizes ranged from 1.5 cm x 0.5 cm to 6.0 cm x 3.5 cm.
- Donor site wounds were closed directly.
Main Results:
- 120 cases were treated with a high flap survival rate (97.5%).
- Minor epidermis necrosis in 3 flaps healed with dressing.
- Follow-up (3-36 months) showed inconspicuous donor site scars and good flap color/texture match.
Conclusions:
- The OOM flap is an ideal choice for eyelid reconstruction due to its reliable blood supply.
- Satisfactory flap color and texture provide good aesthetic outcomes.
- Direct donor site closure results in reduced morbidity.
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