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Updated: Feb 12, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
707
Nose defects reconstruction with the Zitelli bilobed flap.
Michele P Grieco1,2, Nicolò Bertozzi3,4, Eugenio Grignaffini3,4
1Division of Plastic Surgery, Department of Surgical Sciences, University of Parma, Parma, Italy - dr.mgrieco@yahoo.it.
Summary
The Zitelli bilobed flap effectively reconstructs nose defects from skin cancer, preserving facial aesthetics and nasal function. This reliable technique shows excellent outcomes with minimal complications.
Area of Science:
- Plastic Surgery
- Dermatology
- Oncology
Background:
- Head and neck skin cancers frequently occur on the nose, impacting both health and appearance.
- Nose reconstruction requires techniques balancing oncological safety with aesthetic and functional restoration.
- Regional skin flaps are favored for nose defect reconstruction due to their reliability.
Purpose of the Study:
- To evaluate the efficacy of the Zitelli bilobed flap for reconstructing nasal defects after skin cancer excision.
- To assess the oncological radicality, aesthetic outcomes, and functional preservation following this reconstructive method.
Main Methods:
- A retrospective review of 86 patients (2008-2012) with nasal skin cancer (basal-cell and squamous cell carcinoma).
- Reconstruction of all nasal defects utilized the modified Zitelli bilobed flap.
- Outcomes were assessed through short- and long-term follow-up evaluations.
Main Results:
- No infections or major complications were reported in the 86 treated patients.
- High preservation of facial characteristics and normal nasal functions was observed.
- Minor alar rim distortions occurred in 12 cases, but cosmetic outcomes were still rated as good.
Conclusions:
- The modified Zitelli bilobed flap is a robust and reliable method for nose defect reconstruction.
- This technique successfully achieves oncological goals while maintaining good aesthetic results and nasal function.
- The Zitelli bilobed flap offers a dependable solution for patients undergoing nasal reconstruction after skin cancer surgery.
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