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Surgical Reconstruction of the Congenital Absent Earlobe.
J Craniofac Surg
January 2025
Plastic and Reconstructive Surgery, PEMEX South Central High Specialty Hospital, Mexico City, Mexico.
Introduction: A simple technique for earlobe reconstruction in a single stage, with satisfactory esthetic results and minimal morbidity.
Cases: Two patients with congenital absent earlobe are presented. In both cases, a bilobed flap comprising skin, subcutaneous tissue, and fat was used to reconstruct the lower border of the earlobe.
The Bilobed Flap - Critical Analysis and New Mathematically Precise Design.
Eplasty
July 2024
Department of Plastic Surgery, Apex Hospitals, Bikaner, Rajasthan, India.
Article Synopsis
- The bilobed flap is a key technique for reconstructing nasal defects, often modified to improve its effectiveness, but little attention has been paid to the importance of the pivot point in its design.
- Recent analysis reveals that the traditional Zitelli design has mathematical inaccuracies, prompting the proposal of a new design with a more precise pivot point placement 2.6 times the radius of the defect.
- Properly designing the bilobed flap as a rotation flap enhances its functionality, making it a more reliable option for nasal reconstruction.
The Tree Flap: A Novel Modification of the Hatchet Flap for Lower One-third Nasal Reconstruction.
Plast Reconstr Surg Glob Open
April 2024
From the Department of Plastic and Reconstructive Surgery, St George Hospital, Sydney, Australia.
Nasal reconstruction after skin cancer excision has routinely been challenging without any aesthetic sequelae, and any defects on the nose are readily noticeable. To circumvent this problem, surgeons have developed different flap techniques to mobilize adjacent tissue to repair aesthetically sensitive defects. We describe our experience, outcomes, and valuable tips for using the "tree flap," a novel modification of the hatchet flap that extends the back cut to significantly increase mobility, leaving only a small skin paddle to maintain perfusion to the flap.
View Article and Find Full Text PDFThe Versatility of Keystone Flaps for Skin Cancer Reconstruction of the Nose.
J Craniofac Surg
October 2024
Department of Plastic and Reconstructive Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Republic of Korea.
Nasal reconstruction has been a challenging problem for even the most experienced surgeon to provide excellent esthetic and functional outcomes. Although the bilobed flap offers distinct advantages for reconstructing these defects using an adjacent tissue with similar esthetic qualities, this flap has several potential limitations. The authors hypothesized that the conventional keystone flap and its variants provide a versatile and easily reproducible reconstructive option for nasal reconstruction after wide skin cancer excision.
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