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The rhombic bilobed flap for nasal reconstruction
1Department of Dermatology, Arkansas Cancer Research Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. sdinehart@pol.net
Background:
The bilobed flap is a useful tool for reconstruction of the nose but is occasionally complicated by pincushioning or trapdoor deformity.
Objective:
To describe the use of a rhombic bilobed flap for use in reconstructing defects on the lower third of the nose.
Methods:
Reconstruction of skin cancer defects following Mohs surgery was performed using a bilobed rhombic flap design in 10 patients.
Results:
Good to excellent results were seen in 9 of 10 patients. Significant pincushioning was not present postoperatively in any patient.
Conclusion:
Despite some disadvantages, the rhombic bilobed flap is useful in reconstructing nasal defects on the lower third of the nose.
