Trilobed Skin Flap on the Face: For Reconstruction of Full-Thickness or Commissural Defects

Abstract

Because it is easy to obtain a trilobed skin flap, it can be used for reconstruction of canthal, oral, and commissural defects, and the new canthus, mouth, and commissures with angles as in the original ones can be created. In addition, the flap can be used for reconstruction of full-thickness defects in the alar region and the ear.

Full-thickness skin grafts for surgical defects of the nasal ala - a comprehensive review, approach and outcomes of 186 cases over 9 years

“…The proximity to the free margin, the importance of preserving the ala crease and the need to replicate the thick, sebaceous skin and convex contour of the ala are all factors that must be considered. The last few decades have seen an emergence of various complex flaps to repair defects of the nasal ala. [1][2][3][4][5][6][7][8][9][10][11] Historically, the humble skin graft has been considered by various authors as being less than ideal for reconstruction of the nasal ala, tip, sidewall or dorsum. 4,8,12 As a consequence, there has been a paucity of data on the use of skin grafts, particularly on its longitudinal outcomes for repair of defects on the lower third of the nose.…”

The bilobed flap in skin cancer of the face: Our experience on 285 cases

“…Using this method, skin defects were reconstructed aesthetically without any distortion of the local anatomy of the nose, and the skin had the same colour and texture (thickness). Results reported by Copcu (2004), El-Marrakby (2005) and Rustemeyer et al (2009) indicate the bilobed flap is versatile, simple, and easy to harvest and can cover a variety of defects on the face and in the nasal region.…”

Repair of a Lateral Neck Defect Using a Trilobed Transposition Flap

“…Albertini has recommended the trilobed flap for reconstructions where tissue must be mobilized beyond the 90 to 100° that the Zitelli modification of the bilobed flap allows. Copcu has used his own design of the trilobed flap for reconstruction of commissural defects of the face, which allows for recapitulation of the original commissural angle. He also describes using a trilobed flap for reconstruction of a large defect of the cheek that allowed for mobilization of distant tissue from the neck and closure with minimal tension, avoiding ectropion.…”