The superiorly based bilobed flap for nasal reconstruction - 13/01/18
, S. Tyler Hollmig, MD c, Joel Cook, MD aAbstract |
Background |
The laterally based bilobed flap is commonly used for the reconstruction of small- to medium-sized defects of the distal portion of the nose; However, when this flap is used to repair defects that are larger, more cephalic, or more lateral on the nose, there is a risk for lower nasal distortion. Reorienting the base superiorly preserves the advantages of the traditional design while minimizing this risk.
Objective |
To demonstrate the design, execution, and efficacy of the superiorly based bilobed flap.
Methods |
A retrospective review examined all superiorly based bilobed flaps performed by 1 surgeon (J.C.) in 2000-2016 after tumor extirpation by Mohs micrographic surgery at a single institution.
Results |
A total of 41 surgical defects were closed with 40 flaps between June 2000 and August 2016 (1 patient had 2 defects closed with a single flap). Of the tumors, 55% were located on the nasal dorsum, and the median of the longest postoperative tumor axis was 1.4 cm. Follow-up was available for 40 flaps, and no infections, hematomas, or episodes of full-thickness necrosis were observed.
Limitations |
Data were collected retrospectively from a single institution without a standardized assessment tool for aesthetic outcomes.
Conclusion |
The superiorly based bilobed flap is useful for nasal reconstruction.
Le texte complet de cet article est disponible en PDF.Key Words : bilobed flap, facial reconstruction, Mohs micrographic surgery, nasal reconstruction, superiorly based bilobed flap, transposition flap
Plan
| Supported by the Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina. |
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| Conflicts of interest: None declared. |
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| Reprints not available from the authors. |
Vol 78 - N° 2
P. 370-376 - février 2018 Retour au numéro
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