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Updated: Dec 16, 2025

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
238
[Reverse perforator submental flap for closing soft tissue defects]
1National Medical Research Center of Dentistry and Maxillofacial Surgery of Ministry of Health of the Russian Federation, Moscow, Russia.
Summary
This study introduces a new surgical technique using a reverse perforator submental flap for maxillofacial reconstruction. The method is safe and effective for repairing soft tissue defects with minimal complications.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
Background:
- Maxillofacial soft tissue defects require effective reconstruction methods.
- The submental flap is a versatile option, but its indications can be expanded.
- Minimizing postoperative complications is crucial in reconstructive surgery.
Purpose of the Study:
- To evaluate the clinical outcomes of a novel reverse perforator submental flap technique.
- To broaden the application of the submental flap in maxillofacial reconstruction.
- To establish a standardized algorithm for this surgical approach.
Main Methods:
- A new surgical method utilizing a thin perforator submental flap with reverse blood flow was employed.
- The technique was applied to reconstruct soft tissue defects in the maxillofacial area.
- An algorithm for surgical flap harvesting was developed and followed.
Main Results:
- The study included 5 patients aged 41 to 62 years.
- The reverse perforator submental flap demonstrated successful reconstruction of defects.
- Minimal postoperative complications were observed, highlighting the method's safety.
Conclusions:
- The reverse perforator submental flap is a safe and efficient technique for maxillofacial soft tissue reconstruction.
- This method expands the indications for submental flap use.
- The developed algorithm facilitates predictable surgical outcomes.

