Usage of the Bi-Unilobed Cutaneous Flap Model for Maxillofacial Skin Defect Reconstructions

There are many methods on skin defects and their reconstructions. The basic rule for reconstruction of these defects is to perform with the most easy and simple method. Local flaps are one of the most convenient for skin defects. Free flaps, interpolation flaps are usually can not preferred because of no time saving, and need the second operation to delay. For this reason, local flap methods have been always popular methods for the reconstruction of small to large skin defects.10 patients were included to this study. All patients were operated by one senior author. Average follow-up was 10.9 months (1-26 months). Four of patients were female, and others were male.There was no seen any flap ischeamia at follow up. Histopathologic review of removed masses was reported as malignant skin tumor for 7 patients, and as benign skin tumor for 3 patients. Even at the early postoperative period, no distal flap ischeamia was observed. Additionally, no any wound infection, dehiscence and other problems related to wound healing process were seen. In conclusion, our proposed technique that named "bi-unilobed cutaneous flap " has more superior properties than the other local flap methods including: easy planning, no need wide dissection, and has more less donor area morbidity. This suggested method is a different and a good alternative for small to large skin defect according to the standard local flaps such as banner, VY, advancement, transposition, Limberg, and other modified local flaps.