Abstract: Collective cell migration in epithelia relies on cell intercalation: a local remodeling of the cellular network that allows neighboring cells to swap their positions. While in common with foams and other passive cellular fluids, intercalation in epithelia crucially depends on active processes. In these processes, the local geometry of the network and the contractile forces generated therein conspire to produce an "avalanche" of remodeling events, which collectively give rise to a vortical flow at the mesoscopic length scale. We formulate a continuum theory of the mechanism driving this process, built upon recent advances towards understanding the hexatic (i.e. 6-fold ordered) structure of epithelial layers. Using a combination of active hydrodynamics and cell-resolved numerical simulations, we demonstrate that cell intercalation takes place via the unbinding of topological defects, naturally initiated by fluctuations and whose late-times dynamics is governed by the interplay between passive attractive forces and active self-propulsion. Our approach sheds light on the structure of the cellular forces driving collective migration in epithelia and provides an explanation of the observed extensile activity of in vitro epithelial layers.