Coronoid-temporalis pedicled rotation flap for orbital floor reconstruction of the total maxillectomy defect

Shepherd G. Pryor, Eric J. Moore, Jan Kasperbauer, Richard E Hayden, Scott E. Strome

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objectives: Total maxillectomy creates a significant defect in the supporting framework of the orbit. Successful reconstruction of the deficit requires repair of the orbital floor to prevent early and late complications. This paper describes the recreation of the orbital floor using a coronoid-temporalis sling. Study Design: Retrospective review of two patients who underwent total maxillectomy and subsequent coronoid-temoralis sling reconstruction of the surgical defect. Methods: The charts of two patients who underwent coronoid-temporalis reconstruction of the orbital floor were retrospectively reviewed. The outcomes were evaluated. The authors present a method for reconstruction of the orbital floor and discuss the advantages and disadvantages of this method. Results: Two patients underwent successful reconstruction of the orbital floor with a coronoid-temporalis sling procedure. Both patients display acceptable functional and cosmetic results. Conclusion: Coronoid-temporalis sling is a readily available and easily modified tissue for reconstruction of the orbital floor. It offers similar results to those previously described techniques in this area without need for further extensive surgery.

Original languageEnglish (US)
Pages (from-to)2051-2055
Number of pages5
JournalLaryngoscope
Volume114
Issue number11 I
DOIs
StatePublished - Nov 2004

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Surgical Flaps
Recreation
Orbit
Cosmetics
Retrospective Studies

Keywords

  • Coronoid process
  • Orbital floor reconstruction
  • Orbital support
  • Total maxillectomy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Coronoid-temporalis pedicled rotation flap for orbital floor reconstruction of the total maxillectomy defect. / Pryor, Shepherd G.; Moore, Eric J.; Kasperbauer, Jan; Hayden, Richard E; Strome, Scott E.

In: Laryngoscope, Vol. 114, No. 11 I, 11.2004, p. 2051-2055.

Research output: Contribution to journalArticle

Pryor, Shepherd G. ; Moore, Eric J. ; Kasperbauer, Jan ; Hayden, Richard E ; Strome, Scott E. / Coronoid-temporalis pedicled rotation flap for orbital floor reconstruction of the total maxillectomy defect. In: Laryngoscope. 2004 ; Vol. 114, No. 11 I. pp. 2051-2055.
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AU - Strome, Scott E.

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AB - Objectives: Total maxillectomy creates a significant defect in the supporting framework of the orbit. Successful reconstruction of the deficit requires repair of the orbital floor to prevent early and late complications. This paper describes the recreation of the orbital floor using a coronoid-temporalis sling. Study Design: Retrospective review of two patients who underwent total maxillectomy and subsequent coronoid-temoralis sling reconstruction of the surgical defect. Methods: The charts of two patients who underwent coronoid-temporalis reconstruction of the orbital floor were retrospectively reviewed. The outcomes were evaluated. The authors present a method for reconstruction of the orbital floor and discuss the advantages and disadvantages of this method. Results: Two patients underwent successful reconstruction of the orbital floor with a coronoid-temporalis sling procedure. Both patients display acceptable functional and cosmetic results. Conclusion: Coronoid-temporalis sling is a readily available and easily modified tissue for reconstruction of the orbital floor. It offers similar results to those previously described techniques in this area without need for further extensive surgery.

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