Bilobed flap for reconstruction of wide-sized temporal forehead defect

Area of Science:

• Dermatologic Surgery
• Plastic and Reconstructive Surgery
• Oncology

Background:

• Basal cell carcinoma is a common skin cancer requiring surgical excision.
• Large facial defects pose reconstruction challenges, impacting aesthetics and function.
• Forehead reconstruction requires careful consideration of symmetry and tissue matching.

Purpose of the Study:

• To present a case of basal cell carcinoma excision with a significant forehead defect.
• To describe the successful reconstruction of a 6x4 cm forehead defect using a bilobed flap.
• To evaluate the aesthetic outcomes and tissue integration of the bilobed flap reconstruction.

Main Methods:

• Surgical excision of basal cell carcinoma on the forehead.
• Reconstruction of the resulting 6x4 cm defect using a bilobed flap.
• Postoperative assessment of flap viability, symmetry, and aesthetic result.

Main Results:

• The bilobed flap successfully reconstructed the large forehead defect.
• The reconstruction achieved good symmetry with the contralateral forehead.
• Minimal distortion and favorable color match of adjacent tissues were noted.

Conclusions:

• Bilobed flaps are an effective method for reconstructing large forehead defects after skin cancer excision.
• This technique can achieve excellent aesthetic results by maintaining facial symmetry and utilizing adjacent tissue characteristics.
• The bilobed flap offers a viable option for complex facial reconstructions in dermatologic surgery.