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Related Experiment Video

Updated: Dec 22, 2025

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Published on: December 5, 2025

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BILOBED FLAP IN FACIAL RECONSTRUCTION.

Z Dvořák, V Vavrek, T Kubek

    Acta Chirurgiae Plasticae
    |May 9, 2020
    PubMed
    Summary
    This summary is machine-generated.

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    The bilobed flap is an effective technique for reconstructing extensive facial defects, particularly after tumor excision. It offers favorable outcomes by preserving skin color and texture with minimal complications.

    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery
    • Dermatology

    Background:

    • The bilobed flap, first described in 1918, has been utilized for various reconstructions, including facial defects.
    • Its application has been expanded to challenging areas like the suborbital region.
    • The flap's design is adaptable for diverse and atypical facial reconstructions.

    Purpose of the Study:

    • To evaluate the efficacy of the bilobed flap in reconstructing facial defects.
    • To analyze patient demographics, defect types, and complication rates.
    • To assess the functional and aesthetic outcomes of bilobed flap reconstructions.

    Main Methods:

    • A retrospective study of 203 bilobed flap reconstructions performed on 199 patients.
    • Data collected from January 2007 to December 2016 at St. Anne's University Hospital in Brno.
    Keywords:
    Bilobed flaphead and neck surgerylocal flapskin cancer

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  • Analysis included patient age, gender, defect location, etiology, and complications.

    • Main Results:

    • The study included 199 patients (101 men, 98 women) aged 39-98 years (mean 76).
    • Most defects (89.7%) resulted from malignant tumor excision (basal cell carcinoma, squamous cell carcinoma).
    • Complications occurred in 20.2% of cases, with flap abundance being the most common (4.9%). Favorable aesthetic and functional results were observed.

    Conclusions:

    • The bilobed flap is a valuable option for extensive facial defect reconstruction.
    • It provides excellent texture and color preservation compared to other methods.
    • Minimal donor site morbidity further supports its consideration in reconstructive surgery.