The Bilobed Flap as an Option for Large Neck

  • Rita Bouceiro-Mendes Centro Hospitalar Universitário Lisboa Norte, Hospital de Santa Maria, Serviço de Dermatologia https://orcid.org/0000-0002-5034-3613
  • M. Mendonça-Sanches Centro Hospitalar Universitário Lisboa Norte, Hospital de Santa Maria, Serviço de Dermatologia https://orcid.org/0000-0001-6940-0123
  • M. Alpalhão Centro Hospitalar Universitário Lisboa Norte, Hospital de Santa Maria, Serviço de Dermatologia; Faculdade de Medicina, Clínica Universitária de Dermatologia, Universidade de Lisboa, Portugal https://orcid.org/0000-0001-7672-0395
  • P. Filipe Centro Hospitalar Universitário Lisboa Norte, Hospital de Santa Maria, Serviço de Dermatologia; Faculdade de Medicina, Clínica Universitária de Dermatologia, Universidade de Lisboa, Portugal https://orcid.org/0000-0002-7337-6493
  • J. N. Maia Silva Centro Hospitalar Universitário Lisboa Norte, Hospital de Santa Maria, Serviço de Dermatologia; Faculdade de Medicina, Clínica Universitária de Dermatologia, Universidade de Lisboa, Portugal https://orcid.org/0000-0003-2583-9518
DOI: https://doi.org/10.29021/spdv.78.2.1188
Keywords: Neck/surgery, Skin Neoplasms/surgery, Surgical Flaps, Wound Closure Techniques

Abstract

The bilobed flap has been extensively used in the reconstruction of distal nasal defects. It is a local flap that recruits skin from areas where there is relative skin mobility to close defects in areas where the skin has less plasticity. Besides its usefulness in the reconstruction of small to moderate cutaneous nasal defects it can also be used to reconstruct large defects located in other anatomical areas. We present a clinical case in which the bilobed skin flap was employed to reconstruct a large surgical defect of the neck resulting from excision of a basal cell carcinoma, with excellent functional and cosmetic results.

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References

Agdoğan Ö, Karaçal R. Bilobed Flap for Reconstruction of a Large Keratoacanthoma of the Thumb. Case Reports Plast Surg Hand Surg. 2019;6(1):86-7.

Chu EA, Byrne PJ. Local Flaps I: Bilobed, Rhombic, and Cervicofacial. Facial Plast Surg Clin North Am. 2009;17(3):349-60.

Vo C, Thomas WW, Brockhoff HC, II, Petrisor D. Bilobed Flaps. Atlas Oral Maxillofacial Surg Clin North Am. 2020;28(1):49-52.

Bast F, Roos S, Weikert S, Schrom T. 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;26(3):220-2.

Mourad M, Arnaoutakis D, Sawhney R, Chan D, Ducic Y. Use of giant bilobed flap for advanced head and neck defects. Facial Plast Surg. 2016;32(03):320-4.

Ricks M, Cook J. Extranasal applications of the bilobed flap. Dermatol Surg. 2005;31(8 Pt 1):941-8.

Salgarelli AC, Cangiano A, Sartorelli F, Bellini P, Collini M. The bilobed flap in skin cancer of the face: Our experience on 285 cases. J Cranio-Maxillofac Surg. 2010;38(6):460-4.

Published
2020-07-14
How to Cite
Bouceiro-Mendes, R., Mendonça-Sanches, M., Alpalhão, M., Filipe, P., & Maia Silva, J. N. (2020). The Bilobed Flap as an Option for Large Neck. Journal of the Portuguese Society of Dermatology and Venereology, 78(2), 167-169. https://doi.org/10.29021/spdv.78.2.1188
Issue
Vol 78 No 2 (2020): April - June
Section
Surgical Pearls

Copyright (c) 2020 Journal of the Portuguese Society of Dermatology and Venereology

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