Background: The Zitelli’sbilobed flap is one of the most useful local flaps for reconstruction of skin and soft tissue defects of the nose. Its main indications are small and circular wounds located on the distal third of the nose (tip and ala). Aims and Objectives: To describe our experience with the use of ZBF for reconstruction of small skin and soft tissue defects of the alar lobules and nasal tip following removal of skin tumors. Materials and Methods: In this paper, we report on our experience with a retrospective study of 23 cases with small defect located in ala and nasal tip between January 2009 and December 2015. Results: The study included 14 men and 9 women with a mean age of 48.08±14.13 years and sex ratio of 1.55, basal cell carcinoma removal was the most cause of defects in 82.6%. All patients underwent reconstruction by using Zitelli’sbilobed flap.Aside from a few complications, the postoperative results were satisfactory for the majority of our patients. Conclusion: This flap is versatile, reliable and easy to implement especially when the principles of technique, patient and wound selection are carefully applied.

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