256 results match your criteria Bilobed Flaps


Reconstruction of cutaneous defects of the nasal tip and alar by two different methods.

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

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http://dx.doi.org/10.7181/acfs.2018.02271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325337PMC
December 2018
1 Read

Reconstruction of a surgical defect in the popliteal fossa: A case report.

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

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183049
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http://dx.doi.org/10.1016/j.ijscr.2018.10.070DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232581PMC
November 2018
13 Reads

The First Dorsal Metacarpal Artery Flap Family: A Review.

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

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http://dx.doi.org/10.1055/s-0038-1675369DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205856PMC
October 2018
1 Read

Use of Local Flaps for Soft-Tissue Closure in Diabetic Foot Wounds: A Systematic Review.

Foot Ankle Spec 2018 Oct 17:1938640018803745. 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

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http://journals.sagepub.com/doi/10.1177/1938640018803745
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http://dx.doi.org/10.1177/1938640018803745DOI Listing
October 2018
2 Reads

[Repair of pressure ulcers in ischial tuberosity of 15 patients by partially de-epithelialized posterior femoral bilobed flaps].

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

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2018.08.015DOI Listing
August 2018
1 Read

[Effects of ultrathin abdomen flap on repairing deep electric burn wounds in finger of pediatric patients].

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

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2018.08.006DOI Listing
August 2018
1 Read

Using a Bilobed Trapezius Myocutaneous Flap and a Scapula Osteomyocutaneous Flap to Reconstruct Through-and-Through Defects of the Hemimandible After Debridement of Advanced Mandibular Osteoradionecrosis.

Ann Plast Surg 2018 Nov;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

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http://dx.doi.org/10.1097/SAP.0000000000001569DOI Listing
November 2018
16 Reads

A Novel Innovation for Surgical Flap Markings Using Projected Stencils.

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

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http://dx.doi.org/10.1097/PRS.0000000000004708DOI Listing
September 2018
8 Reads
2.993 Impact Factor

The Differential Use of Bilobed and Trilobed Transposition Flaps in Cutaneous Nasal Reconstructive Surgery.

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

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http://Insights.ovid.com/crossref?an=00006534-201808000-0003
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http://dx.doi.org/10.1097/PRS.0000000000004583DOI Listing
August 2018
6 Reads

[Reconstruction of oral and maxillofacial soft tissue defects with anterolateral thigh (myocutaneous) flap assisted by computed tomography angiography].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Jun;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

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http://dx.doi.org/10.7507/1002-1892.201612132DOI Listing
June 2017
14 Reads

[Clinical application of modified bilobed chimeric thoracoacromial artery perforator flap for reconstruction of hypopharyngeal defect with anterior neck skin loss].

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

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2018.05.007DOI Listing

Combined bilobed trapezius myocutaneous and scapula osteomyocutaneous flaps for the restoration of through-and-through defects of the mandible following salvage surgery for recurrent head and neck tumours.

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

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http://dx.doi.org/10.1016/j.ijom.2018.03.010DOI Listing
July 2018
5 Reads

Nose defects reconstruction with the Zitelli bilobed flap.

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

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http://dx.doi.org/10.23736/S0392-0488.17.05035-0DOI Listing
April 2018
5 Reads

Successful reconstruction of congenital perineal skin defect using gluteal-fold bilobed perforator flap.

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

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http://dx.doi.org/10.4103/ajps.AJPS_29_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853016PMC
June 2018
4 Reads

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

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

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http://dx.doi.org/10.1142/S2424835518720050DOI Listing
March 2018
2 Reads

The superiorly based bilobed flap for nasal reconstruction.

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

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http://dx.doi.org/10.1016/j.jaad.2017.09.014DOI Listing
February 2018
9 Reads

[Zitelli bilobed flap for the reconstruction of the nasal pyramid after excision of basal cell carcinoma (BCC)].

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

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http://dx.doi.org/10.11604/pamj.2017.27.238.11135DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622822PMC
October 2017
3 Reads

The caudolaterally inserted transposition flap and its variations for reconstruction of defects of the nasal ala.

Authors:
Moritz Felcht

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

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http://dx.doi.org/10.1111/ddg.13318DOI Listing
October 2017
22 Reads

The bilobed flap - a better option for soft tissue release in the management of Radial Club Hand.

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

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May 2017
8 Reads

Bilobed platysma myocutaneous flap in reconstruction of mandibular region cutaneous defect.

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

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September 2016
7 Reads

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

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

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http://dx.doi.org/10.1016/j.jhsa.2017.03.013DOI Listing
July 2017
21 Reads

Combined multi-lobed flaps: A series of 39 extensive hand and multi-digit injuries one-staged reconstructions using modified designs of ALT, DPA and chimeric linking flaps.

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

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http://dx.doi.org/10.1016/j.injury.2017.03.049DOI Listing
July 2017
13 Reads

[Earlobe reconstruction in one step by the Gavello's procedure: Surgical technique and a case report].

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

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http://dx.doi.org/10.1016/j.anplas.2017.02.006DOI Listing

Elongated Dorsal Nasal Flap to Reconstruct Large Defects of the Nose.

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

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http://dx.doi.org/10.1097/DSS.0000000000001149DOI Listing
August 2017
5 Reads

[EFFECTIVENESS OF MODIFIED Zitelli BILOBED FLAPS FOR REPAIRING SOFT TISSUE DEFECT OF LOWER ONE-THIRD NOSE].

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

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http://www.rrsurg.com/article/10.7507/1002-1892.20160282
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http://dx.doi.org/10.7507/1002-1892.20160282DOI Listing
November 2016
5 Reads

[TREATMENT OBSERVATION OF NASAL TIP DEFECTS RECONSTRUCTED BY BILOBED FLAPS AFTER GAINT NEVI EXCISION].

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

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http://dx.doi.org/10.7507/1002-1892.20160281DOI Listing
November 2016
1 Read

Reconstruction of totally degloved fingers: a novel application of the bilobed spiraled innervated radial artery superficial palmar branch perforator flap design provides for primary donor-site closure.

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

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http://dx.doi.org/10.1007/s00276-016-1760-4DOI Listing
May 2017
24 Reads

[Skin cancer of the nose - methods and results of surgical treatment].

Wiad Lek 2016;69(2 Pt 2):228-32

Klinika Chirurgii Szczękowo-Twarzowej Uniwersytetu Medycznego, Łódź

Background: Non-melanoma skin cancer particularly basal cell carcinoma is the most common human malignancy in Caucasians. The majority of these tumours (80-90%) arise on the sun exposed parts of face. Lesions of the nose are the most challenging for the surgeon, because of the aesthetic feature. Read More

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September 2018
1 Read

Ulna Growth Patterns After Soft Tissue Release With Bilobed Flap in Radial Longitudinal Deficiency.

J Pediatr Orthop 2018 Apr;38(4):244-248

Texas Scottish Rite Hospital for Children, Charles E. Seay Jr Hand Center, Dallas, TX.

Background: Centralization is commonly utilized for treating the severely deviated wrist in radial longitudinal deficiency (RLD). Individuals with RLD have congenital shortening of the ulna and previous studies have shown that traditional centralization, in particular with notching of the carpus, results in additional ulnar growth retardation. At our institution, we use a technique of soft tissue release with bilobed flap. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000807DOI Listing

Use of Giant Bilobed Flap for Advanced Head and Neck Defects.

Facial Plast Surg 2016 Jun 1;32(3):320-4. Epub 2016 Jun 1.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.

This article aims to review the use of giant bilobed flaps in the reconstruction of various large defects within the head and neck. A single case series study with chart review was performed. Various facial, neck, and mentum defects were documented, and closure was accomplished through a variety of medially and laterally based giant bilobed flaps. Read More

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http://dx.doi.org/10.1055/s-0036-1571808DOI Listing
June 2016
3 Reads

[Reconstruction of superficial defects from the crossroad of nasal subunits, tip, alar lobule and lateral side wall: Study of 36 patients].

Ann Chir Plast Esthet 2016 Aug 14;61(4):248-56. Epub 2016 Apr 14.

Service de chirurgie plastique et brûlés, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.

Purpose: Conventionally, articles dealing with nasal defects plan reconstructions regarding the aesthetic subunits, imposing their systematic respect. We propose to study the reconstruction of a crossroad region of three subunits, tip, alar lobule and lateral sidewall, where that full compliance is not possible, in our experience of 36 patients.

Methods: Our retrospective study from January 2011 to December 2012 focused on patients with a defect in this crossroad region that was repaired by skin graft or flap. Read More

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http://dx.doi.org/10.1016/j.anplas.2016.03.006DOI Listing
August 2016
1 Read

[APPLICATION OF FREE BILOBED MEDIAL SURAL ARTERY PERFORATOR FLAP FOR REPAIRING PENETRATING WOUND OF FOOT].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2015 Dec;29(12):1519-22

Objective: To explore the effectiveness of the free bilobed medial sural artery perforator (BMSAP) flap to repair penetrating wound of the foot.

Methods: Between April 2012 and October 2014, 7 cases of foot penetrating wounds were treated with the BMSAP flap. There were 5 males and 2 females, aged from 21 to 43 years (mean, 31. Read More

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December 2015
9 Reads

[RECONSTRUCTION OF IRREGULAR DEFECTS OF HAND USING LATERAL ARM FREE PERFORATOR FLAP BY PERSONALIZED DESIGN].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2015 Dec;29(12):1510-4

Objective: To observe the effectiveness of lateral arm free perforator flap by personalized design in repairing irregular defects of the hand.

Methods: Twelve patients with irregular defects of the hand were repaired with lateral arm free perforator flaps by personalized design between January 2010 and January 2015. There were 7 males and 5 females with a mean age of 35 years (range, 18-52 years). Read More

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December 2015
7 Reads

Current Practice: The Bilobed Flap from the Classic Indication to Cover a Small Defect on Face to Covering a Large Defect on the Chest.

J Coll Physicians Surg Pak 2016 Mar;26(3):220-2

Department of ENT, Helios Clinics Bad Saarow, Clinic for Oto-Rhino-Laryngology, Head and Neck Surgery/Plastic Surgery, Germany.

A variety of flaps are available to cover skin defects after surgery or trauma in the head and neck area. The bilobed flap is a double transposition flap commonly used in reconstruction of small-to-medium skin defects of the face where skin is less mobile. However, larger defects can also be effectively treated with a bilobed flap in certain cases. Read More

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http://dx.doi.org/03.2016/JCPSP.220222DOI Listing
March 2016
9 Reads

Aesthetic Unit-Based Reconstruction of Periorbital Defects.

J Craniofac Surg 2016 Mar;27(2):429-32

Plastic Reconstructive and Aesthetic Surgery Clinic, Okmeydani Training and Research Hospital, Istanbul, Turkey.

Purpose: The aim of this study was to perform a retrospective analysis of patients who underwent periorbital area reconstructions, determine their sociodemographic characteristics, analyze the effects of defect etiologies and locations classified according to periorbital subunits on our reconstruction options, and to present our treatment outcomes and clinical experience.

Methods: A retrospective chart review of 23 patients operated in our department between January 2010 and March 2013 and underwent periorbital area reconstructions, was performed. In addition to the demographic characteristics of the patients; defect etiologies, locations according to Spinelli aesthetic subunits, and the degrees of involvement were determined. Read More

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http://dx.doi.org/10.1097/SCS.0000000000002359DOI Listing
March 2016
17 Reads

Reconstruction of orbital exenteration defects with bilobed forehead flap.

Int Ophthalmol 2016 Dec 9;36(6):861-865. Epub 2016 Mar 9.

Department of Ear, Nose, and Throat, Uludag University, Bursa, Turkey.

To describe the use of bilobed forehead flap for reconstruction of orbital exenteration defect. The medical records of 2 patients in whom orbital exenteration defect repair was performed with bilobed forehead flap were reviewed. In both patients (male, ages 74 and 65 years), extended exenteration was performed because of basal cell carcinoma infiltrating the upper and lower eyelids and orbit. Read More

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http://dx.doi.org/10.1007/s10792-016-0210-yDOI Listing
December 2016
7 Reads

[Correction of the Thumb in Apert Syndrome - Modified Dome Osteotomy and Bilobed Flap].

Authors:
E-M Baur

Handchir Mikrochir Plast Chir 2016 Feb 19;48(1):18-24. Epub 2016 Feb 19.

Universitätsklinik für Plastische, Rekonstruktive und Ästhetische Chirurgie, Innsbruck, Österreich.

Children with Apert syndrome have extensive malformations of the extremities and the head. The thumb in Apert syndrome is always short with radial deviation and the first web space is narrowed and flattened. These thumbs can be corrected in a simple manner by modified dome osteotomy of the proximal phalanx combined with soft tissue coverage using a bilobed flap with simultaneous widening of the first web space. Read More

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http://dx.doi.org/10.1055/s-0042-100462DOI Listing
February 2016
2 Reads

Gelatin Facial Skin Simulator for Cutaneous Reconstruction.

Otolaryngol Head Neck Surg 2016 Feb 8;154(2):279-81. Epub 2015 Dec 8.

Department of Otolaryngology-Head and Neck Surgery, University of Missouri, Columbia, Missouri, USA

Reconstruction of facial defects can be an intimidating endeavor, especially to resident physicians. When local flap reconstruction is preferred, design of the optimal flap can be a difficult choice. Poor selection can lead to unsightly scarring as well as increased morbidity. Read More

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http://dx.doi.org/10.1177/0194599815618389DOI Listing
February 2016
5 Reads

[REPAIRING SKIN AND SOFT TISSUE DEFECT IN PALM OR DORSUM OF HAND AND FOREARM WITH EPIGASTRIC BILOBED FLAP].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2015 Feb;29(2):194-7

Objective: To introduce the surgical method and effectiveness of repairing skin and soft tissue defect in the palm or dorsum of the hand and forearm with epigastric bilobed flap.

Methods: Between October 2010 and December 2013, 4 male patients with skin and soft tissue defect in the palm or dorsum of the hand and forearm were treated, aged from 36 to 62 years. Of them, 3 cases had degloving injury caused by machines and 1 case had necrosis of fingers and skin after surgery of crush injury. Read More

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February 2015
4 Reads

Simplified Designing and Insetting of the Free Flap in Reconstructing Oral and/or Oropharyngeal Defect.

J Craniofac Surg 2015 Sep;26(6):2004-7

Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Reconstructing oral and/or oropharyngeal defect after tumor ablation requires anatomic restoration of the complex structures to maximize functional outcomes. This study introduces a simple and adjustable way of designing and insetting of a free flap in such reconstruction. Patients who received free flap reconstruction of oral and/or oropharyngeal defect with 33% to 66% of the native tongue left intact after resection of the tumor were enrolled and reviewed. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SCS.0000000000001906DOI Listing
September 2015
3 Reads

Assessment of Fibula Flap Skin Perfusion in Patients Undergoing Oromandibular Reconstruction: Comparison of Clinical Findings, Fluorescein, and Indocyanine Green Angiography.

JAMA Facial Plast Surg 2015 Nov-Dec;17(6):422-6

Department of Head and Neck Surgery, David Geffen School of Medicine at University of California, Los Angeles.

Importance: Complications of partial flap necrosis contribute substantially to morbidity in patients who undergo head and neck reconstructive surgery.

Objective: To assess the usefulness of clinical findings, intraoperative fluorescein angiography, and intraoperative indocyanine green angiography (ICGA) for evaluation of flap skin paddle perfusion in patients undergoing oromandibular reconstruction who are at high risk of partial skin paddle necrosis.

Design, Setting, And Participants: Retrospective medical record review from May 21, 1996, to May 27, 2015, at a tertiary care academic medical center. Read More

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http://dx.doi.org/10.1001/jamafacial.2015.0961DOI Listing
April 2016
8 Reads

Assessment of Patients Who Underwent Nasal Reconstruction After Non-Melanoma Skin Cancer Excision.

J Craniofac Surg 2015 Jun;26(4):1299-303

*Ankara Oncology Research and Training Hospital, Plastic and Reconstructive Surgery Yenimahalle, Ankara †Hacettepe University Faculty of Medicine, Plastic and Reconstructive Surgery Sihhiye, Ankara ‡Necmettin Erbakan University, Meram Faculty of Medicine, Konya §Ankara Research and Training Hospital, Plastic and Reconstructive Surgery Altindağ, Ankara ||Düzce Atatürk State Hospital, Plastic and Reconstructive Surgery Sihhiye, Ankara, Turkey.

Background: Basal and squamous cell carcinomas are the most common malignant cutaneous lesions affecting the nose. With the rising incidence of skin cancers, plastic surgeons increasingly face nasal reconstruction challenges. Although multiple options exist, optimal results are obtained when "like is used to repair like". Read More

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http://pdfs.journals.lww.com/jcraniofacialsurgery/2015/06000
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SCS.0000000000001563DOI Listing
June 2015
6 Reads

The Sacred Heart Bilobed Flap: A Simple Method for Closing Small Scalp Defects.

Plast Reconstr Surg 2015 Aug;136(2):286e-288e

Division of Plastic Surgery, Sacred Heart Hospital, Allentown, Pa.

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http://dx.doi.org/10.1097/PRS.0000000000001458DOI Listing
August 2015
1 Read

Successful reconstruction after resection of malignant skin tumor on triangular fossa using anterior auricular bilobed flap.

J Dermatolog Treat 2015 Oct 20;26(5):473-6. Epub 2015 Apr 20.

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

Reconstruction of surgical defects is challenging, especially when they are localized in an anterior surface. The authors present two patients with a malignant skin neoplasm localized in the triangular fossa. Each tumor was removed and the cartilage-exposing wound was reconstructed using an anterior auricular bilobed flap. Read More

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http://www.tandfonline.com/doi/full/10.3109/09546634.2015.10
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http://dx.doi.org/10.3109/09546634.2015.1021237DOI Listing
October 2015
3 Reads

The bilobed flap as a lifeboat flap for a forearm soft tissue defect.

J Plast Reconstr Aesthet Surg 2015 Aug 1;68(8):1153-4. Epub 2015 Apr 1.

The Queen Victoria Hospital, UK.

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http://dx.doi.org/10.1016/j.bjps.2015.03.022DOI Listing
August 2015
1 Read

Soft tissue release and bilobed flap for severe radial longitudinal deficiency.

J Hand Surg Am 2015 May 6;40(5):894-9. Epub 2015 Mar 6.

Texas Scottish Rite Hospital for Children, Dallas, TX. Electronic address:

Purpose: To report the hand position, range of motion, functional results, and radiographic outcomes associated with treating radial longitudinal deficiency with release of constricting or deforming soft tissue and resurfacing of the radial skin deficiency with a bilobed flap.

Methods: We recalled and reviewed patients with at least a 3-year follow-up who had undergone soft-tissue release and coverage with a bilobed flap. The study group consisted of 16 patients and 18 wrists. Read More

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http://dx.doi.org/10.1016/j.jhsa.2015.01.004DOI Listing
May 2015
3 Reads

[What's new in instrumental dermatology?].

Authors:
J-M Amici

Ann Dermatol Venereol 2014 Dec;141 Suppl 4:S610-5

Hôpital Saint-André, CHU de Bordeaux, 1, rue Jean-Burguet, 33000 Bordeaux, France. Electronic address:

This "What's new in instrumental dermatology" focuses on cutaneous oncologic surgery, base on a review of the 2012-2014 literature. First, the ability of dermatologists to make a good "oncologic reading of tumors" is the key of radical surgical treatment. Advantages and disadvantages of the biopsy are discussed. Read More

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http://dx.doi.org/10.1016/S0151-9638(14)70164-4DOI Listing
December 2014
2 Reads

Nasal Reconstruction: A Simplified Approach Based on 419 Operated Cases.

Aesthetic Plast Surg 2015 Feb 21;39(1):91-9. Epub 2014 Nov 21.

Department of Plastic Surgery, University of Tennessee Health Science Center, 910 Madison Ave, Room 315, Memphis, TN, 38103, USA.

Background: The purpose of this review is to examine a single surgeon's 10-year experience with nose defects and offer a simplified approach for nasal reconstruction to close most nasal defects following Mohs micrographic surgery (MMS).

Patients And Methods: A retrospective chart review was performed on patients undergoing repair of MMS defects of the nose over a 10-year period. Data collected included patients' age and sex, anatomic location of the defect, type of reconstruction, and number of operations required. Read More

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http://dx.doi.org/10.1007/s00266-014-0417-0DOI Listing
February 2015
3 Reads