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


METHODS
Retrospective review of two patients who underwent total maxillectomy and subsequent coronoid-temporalis 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.


CONCLUSIONS
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.
Pryor
Shepherd G
SG
Mayo Clinic, Department of Otorhinolaryngology, Rochester, Minnesota 55905, USA.
Moore
Eric J
EJ
Kasperbauer
Jan L
JL
Hayden
Richard E
RE
Strome
Scott E
SE
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D009915:Orbit / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps