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The bilobed flap for nasal reconstruction.

J A Zitelli1

  • 1Department of Medicine, Montefiore Hospital, University Health Center, Pittsburgh, Pa.

Archives of Dermatology
|July 1, 1989
PubMed
Summary

This study reviews 400 nasal surgical wounds, finding the bilobed double transposition flap effective for lower nose defects. Design improvements are presented to overcome common issues like tissue protrusion for better nasal reconstruction outcomes.

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Otolaryngology

Background:

  • Nasal reconstruction presents unique challenges due to the nose's complex anatomy and aesthetic importance.
  • Standard surgical wound management techniques may lead to suboptimal cosmetic and functional results.

Purpose of the Study:

  • To analyze wound management strategies for nasal defects.
  • To evaluate the efficacy of the bilobed double transposition flap in nasal reconstruction.
  • To present design modifications for improved outcomes.

Main Methods:

  • Retrospective analysis of 400 consecutive surgical wounds on the nose.
  • Focus on the application and outcomes of the bilobed double transposition flap.
  • Description of design improvements to address common complications.

Main Results:

  • The bilobed double transposition flap was the most frequently utilized flap.
  • This flap demonstrated particular utility for defects located in the lower third of the nose.
  • Standard flap designs were associated with tissue protrusions and pincushioning.

Conclusions:

  • The bilobed double transposition flap is a valuable tool for nasal reconstruction, especially for lower third defects.
  • Specific design enhancements can mitigate common complications, leading to superior aesthetic and functional results.
  • Optimized flap design is crucial for successful nasal wound management.

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