The Bilobed Racquet Flap or Extended Seagull Flap for Thumb Reconstruction: A Case Report

Couceiro, José; Red-Gallego, Mariangeles De la; Yeste, Luis; Ayala, Higinio; Sánchez-Crespo, M.R.; Velez, Olga; Barcenilla, Rebeca; Canto, Fernando Del

doi:10.1142/s2424835518720050

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…Tissiani et al describe the versatility of the bilobed flap in a case series of 42 patients who had bilobed flaps done across a wide range of anatomical sites including cheek, upper lip, zygoma, upper limb, and lower limb. [11][12][13] Other options for the repair of defects in Zone II include the nasolabial flap, dorsal nasal flap, forehead flap, and full-thickness skin graft which are time-tested and reliable but complications like swelling, scarring, flap necrosis, infection, and bleeding are well known. Due to the crescentic shape of the flap, it is at risk of developing pincushion deformity as a result of tissue contraction beneath the flap.…”

Section: Discussionmentioning

confidence: 99%

Bilobed flaps for cutaneous nasal defects: a case series

et al. 2022

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The bilobed flap is a local flap used for the reconstruction of small to moderate cutaneous nasal defects. It was first described by Esser in 1918 for use in nasal tip reconstruction. It is a double transposition flap where the first flap serves to fill the primary defect, and a second smaller fills the secondary defect. This approach seeks to distribute tension across a wider area. It is a random pattern flap with no specified blood supply. This study was done at the department of plastic and reconstructive surgery, Saveetha medical college and hospital, from January 2018 to December 2018. Five patients (four female and one male) underwent bilobed flap to reconstruct the cutaneous nasal defects out of which three patients had naevus while two patients had basal cell carcinoma nose. Their ages ranged from 35-68 years with a mean age of 52 years. The procedures were done under local anaesthesia. Post-operatively, all sutures were removed on the 5th day. This technique was performed in 5 cases with defect size ranging from 0.9×1.1 to 1.3×1.8 cm. All defects were closed under minimal wound tension, all scars were inconspicuous, no obvious complications occurred, and the aesthetic outcomes were considered favorable. The bilobed flap is a versatile, easy to perform and reliable flap for closure of small nasal cutaneous defects with good aesthetic outcomes, reduced morbidity and less scarring.

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Section: Discussionmentioning

confidence: 99%

Bilobed flaps for cutaneous nasal defects: a case series

et al. 2022

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“…28 Recently, Couceiro et al extended the flap by adding a lobe supported on the second dorsal metacarpal artery, producing a bilobed flap, which is used to close very large defects of the thumb. 29 The Holevich flap is a modification of the Hilgenfeldt flap that utilizes the same FDMA as both Foucher and Hilgenfeldt, but with an attached racquet of skin extending from the dorsal hand to the proximal index finger. This skin Open Access Surgery 2024:17 https://doi.org/10.2147/OAS.S417999…”

Section: Fdma Flaps: Foucher Flap and Holevich Flapmentioning

confidence: 99%

Open Wound Reconstruction of the Thumb Tip: A Review of Current Literature and Case Reports

Cortes,

Datiashvili

2024

OAS

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The thumb is regarded as the most important digit of the hand, accounting for approximately 40% of the entire function of the hand, loss of a functional thumb leads to loss of key functions and patient autonomy. When the nature of the injury and the amputated part allow it, replantation is the standard of care. However, in cases of tip injury, where the amputated tissue is destroyed or otherwise rendered unusable, other reconstructive methods are used. It is imperative to maintain as much function and sensation as possible while restoring as much lost function and sensation as possible. This includes preservation of the interphalangeal (IP) joint, achieving good soft tissue coverage and restoring motor and sensory functions. With a variety of techniques described in the literature, thumb reconstruction proves to be a formidable task. Moreover, the technique selected must minimized complications associated with reconstruction such as hypersensitivity, contracture deformities, poor aesthetics, limited range of motion and insufficient coverage. We review and summarize the techniques of revision amputation, Moberg advancement flap, FDMA flaps, free tissue transfer from the great toe and non-operative management. We include case reports that highlight the benefits and limitations of some of these techniques.

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“…It can be executed either as a racquet or as an island flap. 9 10 The paths of the first and second metacarpal artery are identified with a Doppler's probe and marked with a needle. The dissection is once again started ulnarly, the area on the dorsum of the middle finger and a small section of skin connecting the index and middle finger are included as well.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Couceiro et al 10 described the use of an extended seagull flap for the coverage of a thumb degloving injury, they included a very big skin paddle and the skin on the dorsum of the proximal phalanxes of the index and middle finger.…”

Section: Surgical Techniquementioning

confidence: 99%

The First Dorsal Metacarpal Artery Flap Family: A Review

Couceiro

Prado

Menéndez

et al. 2018

Surg J

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Deep soft tissue injuries around the thumb can severely hinder hand function if not treated correctly. Many different surgical options have been described for the treatment of these serious lesions, including microsurgical flaps, such as toe to hand flaps, local flaps, and distant pedicled flaps. The first dorsal metacarpal artery family of flaps belongs to this last category. These flaps can be performed in different ways, as a racquet, as an island flap, and as a bilobed flap including the second metacarpal artery, among others.The aim of the following article is to review the basic concepts involved in the use of these flaps in reconstructive hand surgery.

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The Bilobed Racquet Flap or Extended Seagull Flap for Thumb Reconstruction: A Case Report

Cited by 6 publications

References 6 publications

Bilobed flaps for cutaneous nasal defects: a case series

Bilobed flaps for cutaneous nasal defects: a case series

Open Wound Reconstruction of the Thumb Tip: A Review of Current Literature and Case Reports

The First Dorsal Metacarpal Artery Flap Family: A Review

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