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Acta Chir Plast 2020 ;61(1-4):10-15

Introduction: The bilobed flap was first described by Esser in 1918. He used it to reconstruct the defects of the nose. It has been used in the reconstructions of trunk and feet defects by many authors since then. Read More

Ear Nose Throat J 2020 Apr 17:145561320918986. Epub 2020 Apr 17.

Faculty of Health Sciences, Department of Otolaryngology, Oncology and Oral and Maxillofacial Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Bydgoszcz, Poland.

The aim of this article was to feature the use of giant bilobed flaps in surgical reconstruction after total or subtotal petrosectomy in oncology cases. The Esser technique was renewed and adopted for coverage huge skin loss. The authors reported 4 cases illustrated pre- and postoperative photography and intraoperative planning and schema. Read More

Indian J Otolaryngol Head Neck Surg 2020 Mar 19;72(1):44-48. Epub 2019 Aug 19.

2Department of ENT, Military Hospital Pathankot, Punjab, India.

Reconstruction of full thickness defects after resection of oral cancer is a challenge. Although microvascular free flaps are considered the first choice, their use is limited in the developing regions by availability of resources and the expertise. In this study, we have presented our experience with the use of bipaddle pectoralis major myocutaneous (PMMC) flap as a single stage reconstruction option for defects of the oral cavity. Read More

Arch Dermatol Res 2020 Feb 14. Epub 2020 Feb 14.

Department of Dermatology, University of Minnesota, 516 Delaware St. SE, Mail Code 98, Philips-Wangensteen Building, Suite 4-420, Minneapolis, MN, 55455, USA.

Few studies exist that compare local flap repair designs either mathematically or clinically. Previous mathematical studies use a two-dimensional modeling approach, which is not suited to complex structures like the nose. To quantitatively analyze and compare flap designs for nasal repair using three-dimensional, photographic models. Read More

Atlas Oral Maxillofac Surg Clin North Am 2020 Mar;28(1):49-52

OHSU Oral & Maxillofacial Surgery Clinic, Mark O. Hatfield Research Center, 3250 SW Sam Jackson Park Road, Portland, OR 97239, USA. Electronic address:

Dermatol Surg 2020 Jan 9. Epub 2020 Jan 9.

Department of Dermatology, Cleveland Clinic Foundation, Cleveland, Ohio.

Background: Bilobed transposition flaps are versatile random pattern flaps used in nasal and extranasal reconstruction as they preserve free margins, access distal tissue reservoirs, and reliably repair dynamic defects.

Objective: We highlight the utility of extranasal bilobed flaps to encourage surgeons to consider these flaps for Mohs micrographic surgery defects.

Methods: A two-institution retrospective chart review of patients reconstructed using an extranasal bilobed flap after Mohs micrographic surgery was performed. Read More

Arch Craniofac Surg 2019 Dec 20;20(6):382-387. Epub 2019 Dec 20.

Department of Plastic and Reconstructive Surgery, Gyeongsang National University Hospital, Jinju, Korea.

Background: Defects of the nasal ala and tip have a complex three-dimensional structure that makes them challenging to reconstruct. Many reconstructive options have been described for nasal ala and tip defects, ranging from primary closure to local flaps and skin grafts. However, it is difficult to determine which method will yield the best cosmetic results in each individual case. Read More

J Craniofac Surg 2020 Mar/Apr;31(2):e169-e171

Department of Plastic Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Skin cancer of the nose remains a common challenge for the reconstructive surgeon with full-thickness defects being particularly problematic. Reconstruction of the internal nasal lining poses the greatest difficulty with local tissue often having unsatisfactory vascularity or surface area. We describe the reconstruction of a full thickness nasal alar defect in a patient after failed full-thickness skin graft using a single stage procedure combining a bilobed flap with a turnover flap. Read More

Eplasty 2019 10;19:e23. Epub 2019 Dec 10.

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Louisville, Louisville, KY.

Lateral breast defects of various causes can be reconstructed with random patterned local flaps utilizing oncoplastic techniques. These local flaps are used frequently in other areas but are infrequent in breast reconstruction despite affording excellent utility in small lateral defects. We sought to demonstrate this with a case series involving 5 patients who underwent oncoplastic breast surgery with random patterned flap reconstruction. Read More

Plast Reconstr Surg 2020 01;145(1):231-234

Tampa, Fla. From the Department of Plastic and Reconstructive Surgery, Morsani College of Medicine, University of South Florida.

Perineal reconstruction historically has been guided by the vertical rectus abdominis myocutaneous flap. In oncologic patients, because of prior surgical intervention, this donor site is often unavailable, the pelvis has been irradiated, and defects can be deep or irregularly contoured. Using plastic surgery principles of perforators, geometrically defined local tissue rearrangement, and flap inset, the authors have developed a modification of the gracilis flap to include a second soft-tissue arm similar to a bilobed flap. Read More

Facial Plast Surg Clin North Am 2019 Nov;27(4):571-579

The Center for Dermatology Care, 267 West Hillcrest Drive, Thousand Oaks, CA 91360, USA; Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.

To avoid complications or bad results following reconstruction of skin cancer defects, there are several factors that can be incorporated into the design and execution of repairs. These techniques not only decrease the need to correct bad results, they improve the final aesthetic and functional outcome. So although one surgeon might focus on standard corrective treatments, another might use elements of flap design and implementation that will decrease the need for such corrective procedures. Read More

Laryngorhinootologie 2019 Sep 9;98(9):608-611. Epub 2019 Sep 9.

Klinik und Poliklinik für Dermatologie und Allergologie, Hauttumorzentrum, Abteilung für Dermatochirurgie, Technische Universität München.

Classic transposition flaps (TF) consist of a single random pattern lobe, which is elevated (rotated) over an area of normal skin to reach the primary defect. Frequently mentioned modifications are the rhombic flaps according to Limberg and Dufourmentel as well as the unilateral multi lobed ("bilobed" and "trilobed") flaps 1, 2, 3, 4, 5, 6. The contralateral double TF presented here is a modification rarely mentioned in the literature 4. Read More

Zhonghua Shao Shang Za Zhi 2019 Aug;35(8):604-607

Department of Hand Surgery, Wuxi Hand Surgery Hospital, Wuxi 214062, China.

To summarize the effects of medial upper arm bilobed free flaps in the repair of two skin and soft tissue defects of hand. From May 2014 to May 2016, 7 patients of two skin and soft tissue defects of hand with exposures of phalanges and tendons were treated in Xuzhou Renci Hospital, including 5 males and 2 females, aged from 19 to 41 years. Each defect area ranged from 3. Read More

Zhonghua Shao Shang Za Zhi 2019 Jul;35(7):495-500

Department of Hand Surgery, Ruihua affiliated Hospital of Soochow University, Suzhou 215104, China.

To investigate the clinical effects of extra-long lateral femoral supercharged perforator flaps in repair of ankle and foot wounds. From March 2014 to October 2018, 16 patients with foot and ankle injuries were admitted to our hospital and left large area of wounds on foot and ankle after emergency treatment. There were 13 males and 3 females, with age of 27 to 60 years. Read More

Ann Plast Surg 2019 09;83(3):300-304

From the Long Island Plastic Surgical Group, Garden City.

Introduction: Nasal reconstruction after oncologic resection often constitutes a technically demanding task. The aim of this study was to investigate our experience with nasal reconstruction after Mohs micrographic surgery using the following 3 well-established, versatile, and reliable techniques: the bilobed flap, nasolabial flap, and forehead flap.

Methods: A single-surgeon retrospective chart review of all patients undergone a bilobed, nasolabial, or forehead flap for nasal reconstruction after Mohs micrographic surgery from 2003 to 2017 was conducted. Read More

J Dermatolog Treat 2019 Jun 25:1-6. Epub 2019 Jun 25.

a Department of Dermatology and Cutaneous Biology Research Institute , Yonsei University College of Medicine , Seoul , Korea.

Nasal tip reconstruction (NTR) of the Mohs defect is challenging, especially in Asians who have a relatively low nasal bridge and thin cartilages. To evaluate the usefulness of a new flap design, the checkmark rotation flap (CRF), for NTR in Asians We retrospectively reviewed 31 cases of NTR. Among these, 15 cases underwent CRF, which uses skin from the columellar or infra-tip area with a checkmark v-shaped incision (CRF group). Read More

J Laryngol Otol 2019 08 6;133(8):723-726. Epub 2019 Jun 6.

Department of Neurosciences, Otolaryngology Section, University of Padova, Italy.

Background: A post-auricular cutaneous mastoid fistula is a rare condition that can occur following radical mastoid surgery, chronic suppurative otitis media or spontaneous exteriorisation of cholesteatoma from the mastoid through the post-auricular skin surface. Management of a post-auricular cutaneous mastoid fistula can be challenging for the surgeon.

Objective: This paper describes a surgical refinement for post-auricular cutaneous mastoid fistula closure, involving a fibro-muscular-periosteal flap to cover the mastoid cavity, combined with a bilobed flap from the mastoid and lateral neck regions for skin closure. Read More

Dermatol Surg 2020 Feb;46(2):277-280

Division of Mohs Surgery and Dermatologic Oncology, Department of Dermatology, Saint Louis University, St. Louis, Missouri.

Dermatol Surg 2019 09;45(9):1136-1140

Dermatologic Surgery, Department of Dermatology, University of Minnesota, Minneapolis, Minnnesota.

Background: The bilobed transposition flap recruits the relatively thinner and laxer skin of the nasal dorsum and sidewall to reconstruct defects of the more sebaceous nasal tip and alae. There have been no studies performed to quantify how the material properties of skin alter the bilobed flap's performance during nasal reconstruction.

Objective: To determine the effects of skin thickness and stiffness on bilobed flap mechanics to help guide flap design principles and optimize surgical outcomes. Read More

Arch Craniofac Surg 2019 Feb 20;20(1):37-43. Epub 2019 Feb 20.

Department of Plastic and Reconstructive Surgery, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea.

Background: Tongue reconstruction is challenging with the unique function and anatomy. Goals for reconstruction differ depending on the extent of reconstruction. Thin and pliable flaps are useful for tongue tip reconstruction, for appearance and mobility. Read More

Arch Craniofac Surg 2018 Dec 27;19(4):260-263. Epub 2018 Dec 27.

Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.

Background: The alar and nasal tip are important subunits of the nose. Determining the optimal procedure for reconstructing a cutaneous defect in a nasal subunit depends on several factors including size, location, and involvement of deep underlying structures. We treated cutaneous defects after tumor ablation in the alar and nasal tip with a local flap, using an S-shaped design and a modified V-Y advancement flap with a croissant shape. Read More

Int J Surg Case Rep 2018 1;53:228-230. Epub 2018 Nov 1.

Columbia University Medical Center, Department of Dermatology, New York, NY, 10032, United States. Electronic address:

Introduction: Surgical defects of the popliteal fossa pose a reconstructive challenge to the surgeon, given the intimate relationship of this area with the knee joint and underlying vital neuro-vasculature.

Case Presentation: An 88-year-old woman was treated for a biopsy proven invasive squamous cell carcinoma of the right popliteal fossa with Mohs micrographic surgery. The resultant defect (4. Read More

Surg J (N Y) 2018 Oct 29;4(4):e215-e219. Epub 2018 Oct 29.

Orthopedics department, Hospital Lucus Agusti, Lu, Spain.

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. Read More

Foot Ankle Spec 2019 Jun 17;12(3):286-293. Epub 2018 Oct 17.

Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health San Antonio, San Antonio, Texas.

"A systematic review was undertaken to assess the outcomes of local random flaps in diabetic foot wound closure. The review was conducted using the following databases: Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, Excerpta Medica dataBASE, Google Scholar, MEDLINE, Ovid, and PubMed. Search terms were local random flap, diabetes, foot, wound, ulceration, neuropathy, tissue transfer, V-Y, bilobed, monolobed, rotational, advancement, transpositional, rhomboid, and Limberg. Read More

Zhonghua Shao Shang Za Zhi 2018 Aug;34(8):559-561

Department of Burns and Plastic Surgery, Wuxi Third People's Hospital, Wuxi 214041, China.

Fifteen patients with sinus-type pressure ulcer in ischial tuberosity were admitted to our unit from April 2013 to April 2017, including 12 patients of unilateral pressure ulcer and 3 patients of bilateral pressure ulcer. The wounds were with infection of different degrees. The outer wound area of pressure ulcer before debridement ranged from 1. Read More

Zhonghua Shao Shang Za Zhi 2018 Aug;34(8):513-515

Burn Centre of PLA, Department of Burns and Cutaneous Surgery, Xijing Hospital, Air Force Medical University, Xi'an 710032, China.

To investigate the effects of ultrathin abdomen flap in repairing deep electric burn wounds in finger of pediatric patients. A total of 14 pediatric patients with simple electric burns in finger were admitted to our unit from March 2013 to October 2017. Six patients had electric burns in one finger, 5 patients had electric burns in two fingers, and 3 patients had electric burns in three fingers. Read More

Ann Plast Surg 2018 11;81(5):548-552

From the Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

Objective: The purpose of this study was to evaluate the outcomes of reconstructing through-and-through defects of the hemimandible after debridement of advanced mandibular osteoradionecrosis (ORN) with bilobed trapezius myocutaneous flaps and scapula osteomyocutaneous flaps.

Methods: Six patients with grade III mandibular ORN were treated with debridement of lesions. Type IIb soft tissue and type H hemimandible defects after surgery were reconstructed using bilobed trapezius myocutaneous flaps and scapula osteomyocutaneous flaps including the acromion, spine, and part of the medial scapular border based on the transverse cervical vessels. Read More

Plast Reconstr Surg 2018 09;142(3):827-830

Orange, Calif.; Gainesville, Fla.; and Burlington, Vt. From the Center for Tissue Engineering, Department of Plastic Surgery, University of California, Irvine; the Department of Plastic Surgery, University of Florida; and the Department of Plastic Surgery and the Larner College of Medicine, University of Vermont.

Despite the vast amount of technological advancement seen in the operating room, surgical markings are still drawn as "best estimates" the same way Susruta drew them in the sixth century BC. Many of the flaps used in plastic surgery have precise geometries that are hard to replicate by hand. In this article, the authors describe a novel approach in making surgical markings more accurate by using a pico-projector to project a prefabricated flap, designed on Google Sketchup, as a stencil. Read More

Plast Reconstr Surg 2018 08;142(2):511-519

Cleveland, Ohio; East Greenwich and Providence, R.I.; and Worcester, Mass. From the Department of Dermatology, Cleveland Clinic Foundation; Dermatology Professionals, Inc.; the Department of Dermatology, Warren Alpert Medical School at Brown University; and the Division of Dermatology, University of Massachusetts Medical School.

Background: Bilobed and trilobed transposition flaps are versatile random pattern transposition flaps that reliably restore nasal symmetry, topography, light reflex, and contour and are frequently used in cutaneous nasal reconstructive surgery. The authors wish to compare the characteristics of bilobed and trilobed flaps in cutaneous reconstructive surgery and to identify scenarios for their differential use.

Methods: A retrospective chart review over 7 years of consecutive patients who underwent reconstruction with a bilobed or trilobed flap after Mohs micrographic surgery was performed. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 06;31(6):702-708

Department of Oral and Maxillofacial Surgery, Southwest Medical University Affiliated Stomatological Hospital, Luzhou Sichuan, 646000,

Objective: To investigate the efficacy of anterolateral thigh (myocutaneous) flap designed with computed tomography angiography (CTA) to reconstruct oral and maxillofacial soft tissue defects.

Methods: Between January 2011 and December 2015, 23 cases of oral and maxillofacial tumors were treated. There were 14 males and 9 females with the age range from 45 to 72 years (mean, 56. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 May;53(5):364-368

Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital and Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410008, China.

To evaluate the efficacy of modified bilobed chimeric thoracoacromial artery perforator (TAAP) flap for the reconstruction of hypopharyngeal defect with anterior neck skin loss. Between May 2013 and September 2015, modified bilobed chimeric TAAP flap was used to reconstruct complex oncologic hypopharyngeal defects in 7 patients, including 6 males and 1 female. Patients' age ranged from 28 to 65 years old (mean age 50±3. Read More

Int J Oral Maxillofac Surg 2018 Jul 4;47(7):858-864. Epub 2018 Apr 4.

Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

This study was performed to evaluate the outcomes of combined bilobed trapezius myocutaneous and scapula osteomyocutaneous flaps for the restoration of through-and-through defects of the mandible. The subjects were six patients with recurrent malignant tumours who underwent salvage surgeries and reconstruction with combined flaps based on the transverse cervical vessels (TCVs). All patients had combined bone (four type H, one type LCL, and one type C) and extensive soft tissue defects (through-and-through defects) following salvage surgery. Read More

G Ital Dermatol Venereol 2018 Apr;153(2):278-282

Division of Plastic Surgery, Department of Surgical Sciences, University of Parma, Parma, Italy.

The skin cancers of the head and neck district are localized mostly on the nose, which, by being in the center of the mid-face, has an important aesthetic role. Therefore, many reconstructive techniques have been studied; among them regional skin flaps appeared the most suitable since they guaranteed the oncological radicality as well as a good aesthetic outcome. In this paper, we present our experience with the use of the Zitelli bilobed flap, which is defined as a double transposition flap for the reconstruction of the nose defects. Read More

Afr J Paediatr Surg 2017 Jan-Mar;14(1):15-17

Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.

Perineovaginorectal defect usually requires surgical repair; however, direct closure often leads to dehiscence. We present two patients with a congenital perineal skin defect who were successfully treated using a gluteal-fold bilobed perforator flap. This flap facilitates esthetic restoration and a more natural perineovaginorectal appearance, using only a one-stage procedure. Read More

J Hand Surg Asian Pac Vol 2018 Mar;23(1):128-131

* Hand Surgery Unit, Orthopaedics Department, Hospital Marques de Valdecilla, Cantabria, Spain.

The treatment of extensive soft tissue defects in the thumb with dorsal metacarpal artery flaps has been previously reported in the literature. Island flaps from the dorsum of the index and long fingers have been the subject of many reports and studies. However, when the defect involves the whole thumb, a 360° circumferential defect, standard first or second dorsal metacarpal artery flaps are usually insufficient. Read More

J Am Acad Dermatol 2018 02 19;78(2):370-376. Epub 2017 Oct 19.

Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.

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. Read More

Pan Afr Med J 2017 2;27:238. Epub 2017 Aug 2.

Service Chirurgie Plastique, Brûlés et Chirurgie de la Main, Hôpital Avicenne, Rabat, Maroc.

We report the case of a 65-year old patient presenting with well-defined nodular basal cell carcinom measuring 5mm in diameter in the right paramedian nasal tip and the superior margin of the nasal wing, near the free edge. The tumor was removed, with resection margin of 1mm. It was associated with multiple hyperkeratotic lesions spread across his face. Read More

J Oral Maxillofac Surg 2018 02 12;76(2):368-373. Epub 2017 Aug 12.

Associate Professor and Program Director, Department of Oral and Maxillofacial Surgery, University of Washington, and Harborview Medical Center, Seattle, WA. Electronic address:

This case report describes an unusually large facial pilomatrix carcinoma (PC) in a 60-year-old man. This PC had been growing slowly for 11 months and had recently ulcerated. It measured 9 cm × 7 cm × 5 cm. Read More

J Dtsch Dermatol Ges 2017 Oct 25;15(10):981-987. Epub 2017 Aug 25.

Department of Dermatology, Venerology and Allergy, University Medical Center Mannheim, University of Heidelberg, Manheim, Germany.

Closure of non-full-thickness defects of the nasal ala can be a surgical challenge. While there is a plethora of various reconstructive techniques, not all of them are easy to learn and carry out. Recently, the dermatosurgeon Andreas Lösler from the Department of Dermatology at the Hornheide Medical Center, Germany, developed and published the caudolaterally inserted transposition flap for the reconstruction of alar defects. Read More

J Pak Med Assoc 2017 May;67(5):698-700

Department of Plastic Surgery, Shifa International Hospital, Islamabad, Pakistan.

Objective: To establish that the bilobed flap as soft tissue release component for the radial club hand is superior to the z-plasty technique in type III and IV radial club hands.

Methods: This study was conducted at the Shifa International Hospital, Islamabad, Pakistan, from 2009 to 2015, and comprised patients with radial club hands operated by a single consultant plastic surgeon. Soft tissue release was performed at 08 months. Read More

Pak J Pharm Sci 2016 Sep;29(5 Suppl):1783-1786

Affiliated hospital of Hebei University of Engineering, Hebei, People's Republic of China.

Reconstruction of large cutaneous defects is a challenging task for plastic surgeons. When the skin defect is only part of the complex defects after expansion resection of oral cancer and neck dissection should be done at the same time, it is a daunting task to obtain a cosmetic post-operative appearance. We designed bilobed platysma myocutaneous flaps to reconstruct the mandibular region cutaneous defects. Read More

J Hand Surg Am 2017 Jul 20;42(7):506-510. Epub 2017 Apr 20.

Instituto da Mão, Complexo Hospitalar Santa Casa and Hospital Mãe de Deus, Porto Alegre, RS, Brazil.

Purpose: To study the time to wound healing and recurrence rate achieved in the treatment of distal interphalangeal joint mucous cysts using the Zitelli modified bilobed flap.

Methods: We surgically treated 33 patients from January 2006 to June 2015. We assessed demographic data, comorbidities, location and size of the cyst, time to wound healing, and complications. Read More

Injury 2017 Jul 31;48(7):1527-1535. Epub 2017 Mar 31.

Department of Orthopedic Surgery (Division of Plastic and Hand Surgery), The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, China. Electronic address:

Introduction: The use of multiple small flaps linked in a "chain-linked" flap microanastomosed chimeric system is recommended in distal hand and digital defects reconstruction. The aim of this study is to demonstrates our experience utilizing microsurgical fabrication, multi-lobed and linking combined flaps for the reconstruction of hand degloving injuries with complex multidigit soft tissue defects.

Methods: Microanastomosed chimeric flap systems using ALT and DPA modified designed flaps were combined in five selections to cover extensive soft tissue defects involving the hands and multiple digits of 39 patients (M:F - 36:3) from October 2009 to February 2013. Read More

Ann Chir Plast Esthet 2017 Aug 3;62(4):340-343. Epub 2017 Apr 3.

Clinique de chirurgie plastique et esthétique, 42, boulevard Driss-Slaoui-Val-d'Anfa, Casablanca, Maroc.

The earlobe because of its anatomical position is subject of defects secondary to multiple and varied etiologies. Although its functional role appears negligible, its aesthetic and social importance makes its reconstruction a delicate surgery because it must be discreet but also the simplest possible. Many methods have been described but some require several operating times. Read More

Dermatol Surg 2017 Aug;43(8):1036-1041

*All authors are affiliated with the Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

Background: The typical reconstructive option for closing large-sized defects of the distal half of the nose is the paramedian forehead flap. Other alternatives are a melolabial interpolation flap and bilobed or trilobed flaps. The dorsal nasal (Rieger) flap is suitable for closing small-sized defects at this location, especially when they are medially located. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 Nov;30(11):1376-1378

Department of Plastic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology.

Objective: To investigate the clinical application of the modified Zitelli bilobed flaps in repairing soft tissue defect of lower one-third nose.

Methods: Between February 2009 and February 2014, 26 patients with soft tissue defect of lower one-third nose after resection of basal cell carcinoma underwent reconstruction using modified Zitelli bilobed flaps. There were 15 males and 11 females, aged 48-65 years (mean, 56 years). Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 Nov;30(11):1373-1375

Department of Burn and Reconstruction, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To discuss a reliable and aesthetic surgery method for the reconstruction of large defects on the top of nose after giant nevi resection.

Methods: Between January 2011 and June 2015, 46 cases of nasal tip defects caused by giant nevi resection were treated. Of 46 cases, 22 were male and 24 were female, aged 15-59 years (median, 28 years). Read More

Surg Radiol Anat 2017 May 21;39(5):547-557. Epub 2016 Oct 21.

Department of Orthopedic Surgery, Division of Plastic and Hand Surgery, The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.

Introduction: To investigate the results of resurfacing completely degloved digits using bilobed innervated radial artery superficial palmar branch (RASPB) perforator flap in a spiral fashion.

Methods: A detailed anatomic study on 30 adult fresh frozen cadavers preinjected with silicone rubber compound to demarcate arterial anatomy documented locations, numbers, and diameters of arteries and skin perforators with surrounding nerves. The flap-raising procedure was performed using four fresh cadaver specimen. Read More