The superiorly based bilobed flap for nasal reconstruction.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Dermatology

Background:

• Laterally based bilobed flaps are standard for small-to-medium nasal defects.
• Larger, superior, or lateral nasal defects risk distortion with traditional flaps.
• Superiorly reorienting the flap base mitigates distortion risks.

Purpose of the Study:

• To demonstrate the design of the superiorly based bilobed flap.
• To detail the execution of this reconstructive technique.
• To evaluate the efficacy of the superiorly based bilobed flap.

Main Methods:

• Retrospective review of superiorly based bilobed flaps.
• Study conducted between 2000 and 2016.
• Flaps used for reconstruction after Mohs micrographic surgery.

Main Results:

• 41 defects were reconstructed using 40 flaps.
• 55% of tumors were on the nasal dorsum; median defect size was 1.4 cm.
• No infections, hematomas, or full-thickness necrosis observed in 40 flaps.

Conclusions:

• The superiorly based bilobed flap is a useful technique for nasal reconstruction.
• This method effectively addresses defects at various nasal locations.
• The flap design minimizes risks of nasal distortion.