Related Experiment Video
Updated: Jan 18, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
589
Pericranial Flaps and Grafts for Oculoplastic Reconstructive Surgery: A Major Review
Sugi Panneerselvam1, Marissa K Shoji2, Benyam Kinde3
1Department of Ophthalmology, Bascom Palmer Eye Institute/University of Miami Miller School of Medicine, Miami, Florida.
Ophthalmic Plastic and Reconstructive Surgery
|June 9, 2025
Summary
Pericranial flaps and grafts offer significant reconstructive potential in oculoplastic surgery. This review highlights their anatomy, techniques, and benefits for eyelid and orbital reconstruction, encouraging wider application.
Area of Science:
- Oculoplastic Surgery
- Reconstructive Surgery
- Anatomy
Background:
- The pericranium is an underutilized source for reconstructive potential in oculoplastics.
- Limited research exists on pericranial flaps and grafts in this field.
- It is frequently used in craniofacial surgery.
Purpose of the Study:
- To review the anatomy, surgical dissection techniques, and benefits of pericranial flaps and grafts.
- To encourage wider application of pericranial tissue in oculoplastic reconstructive surgery.
Main Methods:
- Literature review of published cases using pericranial flaps in oculoplastic surgery.
Main Results:
- Vascularized pericranial flaps reconstruct eyelid/orbital defects, mucoceles, and fistulas.
- Free pericranial grafts are less common, used for eyelid defects or alone for forniceal contraction/implant exposure.
- Detailed anatomy and dissection methods are described.
Conclusions:
- Pericranial tissue offers significant advantages for oculoplastic reconstruction.
- Benefits include preserved overlying tissue, rich vascularity, and convenient proximity.
- Despite technical challenges, pericranial flaps/grafts improve functional and cosmetic outcomes.
