Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

作者： Zijian Guo1,2, Grace Paka Lubamba1,2,3, Cheng Miao1,2, Guangzhao Huang1,2, Chunjie Li1,2 1State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology,Sichuan University, 2Department of Head and Neck Oncology, West China Hospital of Stomatology,Sichuan University, 3Department of Oral and Maxillofacial Surgery, University Clinics of Kinshasa, Faculty of Dental Medicine,University of Kinshasa

简介：

Overview

This protocol presents a novel coronoid-temporalis pedicled flap (CTPF) technique for reconstructing small-to-medium orbital floor defects. CTPF avoids microvascular risks while maintaining biomechanical stability.

Key Study Components

Area of Science

• Neuroscience
• Reconstructive Surgery
• Orbital Floor Defects

Background

• Orbital floor defects can lead to complications and aesthetic issues.
• Traditional grafts and alloplastic materials have limitations.
• CTPF offers a new approach to address these challenges.
• This technique utilizes the coronoid process and temporalis muscle for reconstruction.

Purpose of Study

• To introduce a safe and effective method for orbital floor reconstruction.
• To reduce complications associated with existing techniques.
• To maintain facial symmetry post-surgery.

Methods Used

• Harvesting the coronoid process with the temporalis muscle pedicle.
• Transposing the flap to the orbital floor.
• Contouring the bone to fit the defect.
• Achieving rigid fixation using surgical techniques.

Main Results

• Effective structural restoration of the orbital floor.
• Reduced complications compared to traditional methods.
• Preserved facial symmetry in clinical cases.
• CTPF is a viable alternative to traditional grafts.

Conclusions

• The CTPF technique is a promising option for orbital floor reconstruction.
• It minimizes microvascular risks while ensuring stability.
• Further studies may validate its long-term effectiveness.

Frequently Asked Questions