Extranasal Applications of the Bilobed Flap

Ricks, Matthew; Cook, Joel

doi:10.1097/00042728-200508000-00009

Cited by 16 publications

(11 citation statements)

References 12 publications

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“…Extranasal applications of the bilobed flap have been published previously . In our patient's case, the bilobed flap provided sufficient surface area to cover the entire lateral upper cutaneous lip subunit.…”

Section: Resultsmentioning

confidence: 66%

Midface Composite Defect: Laterally Based Bilobed Flap As a Platform for a 3-Stage Folded Paramedian Forehead Flap

Sobanko

Miller

2014

Dermatologic Surgery

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Section: Resultsmentioning

confidence: 66%

Midface Composite Defect: Laterally Based Bilobed Flap As a Platform for a 3-Stage Folded Paramedian Forehead Flap

Sobanko

Miller

2014

Dermatologic Surgery

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“…One or two more buried vertical mattress sutures are sufficient to stabilize the flap in position and evert the skin edges. All buried sutures are placed in muscle to muscle, which may minimize the scar contraction that leads to a trapdoor deformity . Superficial sutures finish the repair and are usually removed at 5–7 days.…”

Section: Techniquementioning

confidence: 99%

Bilobed Flap for Reconstruction of Small Alar Rim Defects

Jellinek

Cordova

2013

Dermatologic Surgery

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“…In this case, however, the overall skin tension and size differential between the two wounds made this choice problematic. Large transposition flaps in the form of either an extranasal bilobe or a rhombic transposition flap offer an efficient means of mobilizing and relocating tissues for large defects of the head and neck 1 . In this case the long vertical axis of the primary defect, the lack of suitable postauricular tissue, and the added width of the second defect at the anticipated pivot point for either of these flaps would make using them problematic and technically difficult.…”

Section: Resolutionmentioning

confidence: 99%

Repair of Two Large Adjacent Cheek Wounds

Barlow

2007

Dermatol Surg

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A 72-year-old Caucasian man with a recurrent basal cell carcinoma of the left preauricular cheek was referred for Mohs micrographic surgery. The patient has a history of myasthenia gravis treated with azathiopurine for many years and took aspirin on a prescribed basis for a history of coronary artery disease. Despite being treated several times in the past by ''Indian mud,'' a topical escharotic available over the Internet, the tumor had continued to grow and bleed frequently. Preoperatively the primary tumor measured 4.0 Â 2.5 cm; notably there were numerous other stellate hypopigmented scars from past treatments across his forehead, cheeks, ears, and neck ( Figure 1). The basal cell carcinoma was completely removed with three stages of Mohs micrographic surgery, with a resulting surgical defect measuring 5.8 Â 4.0 cm. Intraoperatively, a second asymptomatic prior treatment site measuring 2.5 Â 2.5 cm located anterior to the original site was biopsied because it would likely be included in any reconstructive efforts. This biopsy revealed fine tumor strands of basal cell carcinoma within a field of scar tissue. This second basal cell carcinoma was then removed after a single stage of Mohs micrographic surgery resulting in a second adjacent surgical defect of 3.0 Â 3.0 cm. The combined defects encompassed large portion of the left preauricular cheek extending into the mid subcutaneous tissues of the lateral cheek and a small portion of the crus helices of the ear (Figure 2). The surrounding skin of the ears and posterior neck showed numerous stellate scars from past skin cancer treatments; the remainder of the left cheek and mid to anterior neck were free from suspicious lesions or additional treatment scars. How would you manage this wound?

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Extranasal Applications of the Bilobed Flap

Abstract: We hope to expand the use of this versatile flap to extranasal locations. It can produce the equivalent excellent functional and esthetic results compared with its more common nasal application.

Cited by 16 publications

References 12 publications

Midface Composite Defect: Laterally Based Bilobed Flap As a Platform for a 3-Stage Folded Paramedian Forehead Flap

Midface Composite Defect: Laterally Based Bilobed Flap As a Platform for a 3-Stage Folded Paramedian Forehead Flap

Bilobed Flap for Reconstruction of Small Alar Rim Defects

Repair of Two Large Adjacent Cheek Wounds

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