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Updated: Feb 13, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Propeller flaps in eyelid reconstruction.

Saul N Rajak1,2, Shyamala C Huilgol3, Masahiro Murakami4

  • 1The Sussex Eye Hospital, Brighton and Sussex University Hospital, Brighton, UK. Saul.rajak@bsuh.nhs.uk.

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|March 15, 2018
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Summary

Propeller flaps offer a novel solution for reconstructing large eyelid defects. This technique allows for the recruitment of large, mobile skin flaps from surrounding areas, overcoming previous limitations.

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Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Reconstructing large eyelid defects presents challenges due to limited local skin availability.
  • Traditional methods may not adequately address extensive tissue loss in the periocular region.

Purpose of the Study:

  • To evaluate the efficacy of propeller flaps in reconstructing large eyelid defects.
  • To present a series of cases utilizing this reconstructive technique.

Main Methods:

  • A retrospective review of eight patients undergoing tumor excision and reconstruction with cutaneous propeller flaps.
  • Flaps were supplied by a non-perforator orbicularis pedicle.

Main Results:

  • Propeller flaps were successfully used for lower lid, medial canthus, upper lid, and lid-sparing exenteration defects.
  • Minor complications included trapdooring requiring revision and transient edema.

Conclusions:

  • Propeller flaps represent a significant advancement in periocular reconstruction.
  • The subcutaneous pedicle allows for recruitment of large, mobile skin flaps from regional donor sites, addressing the scarcity of local tissue.