The Zitelli Bilobed Flap on Skin Coverage After Mucous Cyst Excision: A Retrospective Cohort of 33 Cases

Jiménez, Isidro; Delgado, Pedro J.; Oliveira, Ricardo Kaempf de

doi:10.1016/j.jhsa.2017.03.013

Cited by 8 publications

(15 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The original description employs a 180° rotation arc and was modified by Zitelli by reducing the rotation arc to around 90° with wide undermining to reduce the pin cushioning effect [ 6 ]. For dorsal finger reconstructions, the bilobed flap has been described for small defects after mucous cyst excision [ 9 , 17 ], and for dorsal thumb defects over the proximal phalanx [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Bilobed Flap Coverage for the Reconstruction of Dorsal Soft Tissue Defect Over the Proximal Phalanx: A Case Report

Li,

Chang,

Gan

et al. 2024

Cureus

View full text Add to dashboard Cite

Soft tissue defects over the dorsal finger are common and may result from trauma, burns, or surgical management of infections and tumors. We present a case where a bilobed flap was used for the reconstruction of a soft tissue defect dorsal to the proximal phalanx of the ring finger and discuss the design of this flap. The defect was secondary to a collar button abscess of the right third webspace and the surgical debridement required to control the infection. The exposed extensor tendon over the proximal phalanx required coverage. The bilobed flap was designed with the first lobe over the right middle finger proximal phalanx and the second lobe over the right second webspace and index finger. The flap healed uneventfully and the patient had good functional recovery. This design for a bilobed flap is suitable for soft tissue reconstruction of defects over the dorsum of the proximal phalanx. It is a simple, reliable, single-staged procedure that provides like-for-like reconstruction and has minimal donor site morbidity.

show abstract

Section: Discussionmentioning

confidence: 99%

Bilobed Flap Coverage for the Reconstruction of Dorsal Soft Tissue Defect Over the Proximal Phalanx: A Case Report

Li,

Chang,

Gan

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…A DMC is a common cyst that is defined as a ganglion involving the DIP joints of the fingers or the IP joints of the thumbs [5,9]. Surgical excision of DIP or IP mucous cysts is necessary when a patient reports discomfort in daily activities, the cyst is causing slight nail deformity, or the surrounding skin becomes fragile and thin, leading to pain and increasing the risk of joint infection [11]. However, many patients have skin defects that are too large to be sutured directly due to high tension at the incision after removal of a DMC, which may result in skin necrosis.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, many kinds of flaps have been designed to overcome this challenge. Jiménez I reported a Zitelli bilobed flap [11] that can sufficiently cover the skin over the DIP joint in a short period. Skin necrosis occurred in one case on the most distal part of the first lobe after surgery, which healed by secondary intention without the appearance of a synovial fistula at the final follow-up.…”

Section: Discussionmentioning

confidence: 99%

The Bipedicle Advancement Flap on Skin Coverage After Mucous Cyst Excision: A Retrospective Study of 18 Cases.

Meng

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Many patients have skin defects after digital mucous cyst (DMC) excision, and this study aimed to assess the clinical outcomes of using a bipedicle advancement flap to cover such defects.Methods From January 2016 to January 2018, DMCs on 18 fingers of 15 patients (4 males and 11 females, with a mean age of 64 years) were treated with cyst and osteophyte excision and a bipedicle advancement flap to cover the resultant defect in this retrospective study. Postoperative flap survival, healing and infection were evaluated. The pre- and postoperative ranges of motion (ROMs) of the distal interphalangeal (DIP) or thumb interphalangeal (IP) joints were recorded. The patients were followed up for 12-36 months (mean, 20 months).Results All the flaps survived, the incisions healed well without infection, and no cyst recurrence occurred. The postoperative ROM of the affected fingers was restored to the preoperative ROM by two months after surgery. No difference was found between the preoperative and postoperative ROMs.Conclusions The bipedicle advancement flap is a simple and effective technique for covering skin defects following DMC excision.

show abstract

“…Few reports have described their use after traumatic finger injuries, on the proximal thumb after Mohs micrographic surgery, or after excision of digital mucus cysts on the distal phalanx. [2][3][4] The Procedure…”

Section: Resolutionmentioning

confidence: 99%

Repair of a Proximal Digit Defect

2021

View full text Add to dashboard Cite

The Zitelli Bilobed Flap on Skin Coverage After Mucous Cyst Excision: A Retrospective Cohort of 33 Cases

Cited by 8 publications

References 31 publications

Bilobed Flap Coverage for the Reconstruction of Dorsal Soft Tissue Defect Over the Proximal Phalanx: A Case Report

Bilobed Flap Coverage for the Reconstruction of Dorsal Soft Tissue Defect Over the Proximal Phalanx: A Case Report

The Bipedicle Advancement Flap on Skin Coverage After Mucous Cyst Excision: A Retrospective Study of 18 Cases.

Repair of a Proximal Digit Defect

Contact Info

Product

Resources

About