Related Experiment Video
Updated: Dec 30, 2025

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Control of the Suborbital Cheek in Pediatric Patients: Working in the Deep Plane
Ara A Salibian1, Barry M Zide1
1Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health; New York, N.Y.
Abstract:
Reconstruction of suborbital cheek and lower eyelid defects can be challenging in pediatric patients due to the need for lower eyelid support, lack of reliable local tissue, and difficulties of scar concealment. The deep-plane cervicofacial rotation-advancement flap is a useful technique for cheek reconstruction in adults; however, its utility in the pediatric population has not been described.
Methods:
Experience using the deep-plane Schrudde flap for large suborbital defects in pediatric patients is presented.
Results:
Safe flap elevation and successful reconstruction requires utilization of critical anatomic landmarks, a standardized sequence of dissection and appropriate fixation.
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