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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
278
Management of Large Facial Defects
Cyrus C Rabbani1, Michelle S Hwang1, Patrick J Byrne1
1Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Facial Plastic Surgery : FPS
|May 16, 2020
Summary
Surgical repair of large facial defects after skin cancer removal varies. This study emphasizes versatile adjacent tissue flaps for reconstruction, alongside secondary procedures for optimal function and appearance.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Oncology
Background:
- Significant variation exists in surgical strategies for large facial defects post-skin cancer excision.
- Reconstruction complexity necessitates consideration of facial subunits and various soft-tissue flap options.
Purpose of the Study:
- To highlight the utility of adjacent tissue advancement and transposition flaps for complex facial defects.
- To emphasize secondary reconstructive techniques for enhanced functional and aesthetic outcomes.
Main Methods:
- Review of surgical management for large facial defects.
- Emphasis on adjacent tissue advancement and transposition flaps.
- Focus on secondary reconstructive procedures.
Main Results:
- Adjacent tissue flaps offer versatility in managing complex facial defects.
- Secondary reconstructive efforts are crucial for optimizing patient outcomes.
Conclusions:
- Adjacent tissue advancement and transposition flaps are key reconstructive tools for facial defects.
- Comprehensive secondary reconstruction is vital for achieving superior functional and aesthetic results.

