Reconstruction of soft tissue defects in the lower extremity due to different etiologies can be a challenging process for surgeons. Compelling reasons for reconstruction include the anatomy of the lower extremity, limited mobility of soft tissues especially the presence of bone, tendon, and neurovascular structures under the defect, and the exposed fixation materials make these defects more complicated. Local fasciocutaneous and muscle flaps are frequently used for the reconstruction of these defects. The patients in our study were with multiple comorbidities such as diabetes mellitus, hypertension, atherosclerosis, and peripheral vascular disease. In this study, with a clinic series consisting of 42 patients (29 male and 13 female), we present a reconstruction with a bipedicled flap as a safe, simple, and efficient reconstructive modality in the treatment of lower extremity soft tissue defects. Except for 1 total flap loss, all defects were successfully reconstructed without any major complications. When reconstruction is performed with a bipedicled flap, the main neurovascular structures are not damaged, free flap and other locoregional flaps can be used as a salvage protocol.

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Basal cell carcinoma is the most common type of malignant cutaneous tumor. Chronic exposure to sunlight is the main factor in its etiology. The main treatment goals in the management of BCC are total removal of the lesion, preservation of healthy tissue, preservation of function and obtaining aesthetically acceptable results. Posteroauricular/preauricular advancement flaps, biloble flaps, helical rim advancement flaps and revolving door flaps are among the flaps used in ear reconstruction. In this study, we present a case of the reconstruction of a full-thickness ear lobe defect with a postro-inferiorly based flap. The patient did not develop any recurrence within the 3 years follow-up period. .