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Updated: Feb 17, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
The "Batman flap": a novel technique to repair a large central glabellar defect
1Department of Dermatology and Dermatologic Surgery, Ospedale di Sassuolo, Sassuolo (Modena), Italy.
Background:
Given the critical position of central glabella among the frontal, nasal, and supraorbital aesthetic subunits of the face, the reconstruction of large defects in this area represents a surgical challenge.
Methods:
We describe a surgical technique based on a modified, curved, A-T flap to repair a large glabellar defect.
Results:
Our modification is useful for large glabellar defects because it enables the distribution of the tension all over the reconstruction sides, avoiding a stressed central area and the subsequent risk of necrosis; functionally, it respects the eyebrows position and since the advancement is parallel to their major axes, it avoids the reduction of the distance between them.
Conclusions:
The "Batman flap" enables reconstructing a glabellar defect, with a good aesthetical result and the respect of the relevant aesthetical subunits.
