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Updated: Jan 21, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Angular artery island flap for eyelid defect reconstruction.

Yavuz Keçeci1, Zulfukar Ulas Bali1, Anvar Ahmedov2

  • 1Department of Plastic and Reconstructive Surgery, Manisa Celal Bayar University, Manisa, Turkey.

Journal of Plastic Surgery and Hand Surgery
|August 6, 2019
PubMed
Summary

This study presents a simple and safe technique for eyelid reconstruction using an angular artery-based axial flap combined with a septal chondromucosal graft. The method effectively repairs full-thickness eyelid defects with minimal complications and inconspicuous scarring.

Keywords:
Eyelid defectangular flapectropioneyelid reconstruction

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Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Eyelid reconstruction presents unique challenges due to the delicate structure and function of the eyelids.
  • Various surgical techniques exist for repairing eyelid defects, necessitating evaluation of novel approaches.

Purpose of the Study:

  • To evaluate the clinical outcomes of using a nasojugal angular artery-based axial flap for full-thickness eyelid defect reconstruction.
  • To assess the efficacy and safety of combining this flap with a septal chondromucosal graft.

Main Methods:

  • A series of eight patients with full-thickness eyelid defects (five lower, three upper) resulting from oncologic resection were treated.
  • Reconstruction utilized a nasojugal angular artery-based axial flap, with the flap designed to be totally axial.
  • The posterior lamella was reconstructed using a septal chondromucosal graft.

Main Results:

  • The follow-up period ranged from 12 to 22 months (mean 16 months).
  • One patient required flap defatting for an upper eyelid reconstruction.
  • No cases of ectropion or wound healing complications were observed.

Conclusions:

  • The combination of an angular artery-based axial flap and septal chondromucosal graft is a safe and effective technique for full-thickness upper and lower eyelid reconstruction.
  • This method offers the advantage of an inconspicuous donor site scar in the nasojugal area.