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Updated: Apr 21, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

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Temporoparietal Fascial Free Flap With Vascularized Helical Rim Component for Complex Nasal Reconstruction.

Asha D Nanda¹, Chizoba A Mosieri^1,2, James T Antongiovanni^1,3

¹From the Department of Plastic and Reconstructive Surgery, University of California, Irvine, Orange, CA.

Plastic and Reconstructive Surgery. Global Open

|April 20, 2026

Summary

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Reconstructing large nasal defects, especially the alar rim, can now be done in one stage using a temporoparietal fascial flap (TPFF) with ear cartilage. This microsurgical technique offers excellent aesthetic outcomes for complex nasal reconstruction.

Area of Science:

Plastic Surgery
Microsurgery
Reconstructive Surgery

Background:

Large nasal defects often necessitate complex reconstructive methods.
Forehead flaps are common, but alternatives are needed for specific defect types.
Microsurgical free flaps offer versatile solutions for extensive nasal reconstruction.

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