Background: The laterally based bilobed flap is commonly used for the reconstruction of small- to medium-sized defects of the distal portion of the nose; However, when this flap is used to repair defects that are larger, more cephalic, or more lateral on the nose, there is a risk for lower nasal distortion. Reorienting the base superiorly preserves the advantages of the traditional design while minimizing this risk.
Objective: To demonstrate the design, execution, and efficacy of the superiorly based bilobed flap.
Methods: A retrospective review examined all superiorly based bilobed flaps performed by 1 surgeon (J.C.) in 2000-2016 after tumor extirpation by Mohs micrographic surgery at a single institution.
Results: A total of 41 surgical defects were closed with 40 flaps between June 2000 and August 2016 (1 patient had 2 defects closed with a single flap). Of the tumors, 55% were located on the nasal dorsum, and the median of the longest postoperative tumor axis was 1.4 cm. Follow-up was available for 40 flaps, and no infections, hematomas, or episodes of full-thickness necrosis were observed.
Limitations: Data were collected retrospectively from a single institution without a standardized assessment tool for aesthetic outcomes.
Conclusion: The superiorly based bilobed flap is useful for nasal reconstruction.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jaad.2017.09.014 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
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.
Prenatal diagnosis of vasa praevia in routine clinical practice: Prevention of stillbirths and impact on perinatal outcomes.
Eur J Obstet Gynecol Reprod Biol
February 2025
Medway Fetal and Maternal Medicine Centre, Gillingham, UK; Institute of Medical Sciences, Canterbury Christ Church University, Kent, UK. Electronic address:
Article Synopsis
- Vasa praevia (VP) is a serious condition where fetal blood vessels are near the cervix, and detecting it before birth can significantly improve baby survival rates.
- The study aimed to demonstrate a two-stage ultrasound screening process for identifying VP during routine prenatal care, which could help prevent stillbirths and perinatal deaths.
- Analyzing data from over 53,000 pregnancies, the study found that VP occurred in about 1 in 1,192 pregnancies, with specific factors like low-lying placenta and placenta previa being strong indicators of the condition.
A review of fossil scorpion higher systematics.
PeerJ
December 2024
Department of Earth and Environmental Sciences, University of Manchester, Manchester, United Kingdom.
Article Synopsis
- Scorpions have a long evolutionary history with a complex classification system that has evolved over time, starting from early divisions based on leg structures in 1884.
- Various researchers contributed to the classification, utilizing different morphological features like mesosomal sclerites and tergites to categorize scorpions into distinct groups over the years.
- Currently, there are 43 known extinct families and 24 living families of scorpions, with some of the living families having fossil representatives, indicating a diverse lineage that goes back to the Triassic period.
The final stadium larva of the Cryptophaea vietnamensis (van Tol & Rozendaal, 1995) from Vietnam is described and illustrated based on specimens reared to adulthood. This is the first record of a larva of the genus Cryptophaea Hämäläinen, 2003. The larvae of C.
View Article and Find Full Text PDFBilobed lateral artery perforator-based flap for partial breast reconstruction - Technique description and results from a ten-year cohort.
Surg Oncol
December 2024
Gynecology and Breast Unit, Araújo Jorge Cancer Hospital, Brazil; Mastology Program, Federal University of Goias, Brazil.
Article Synopsis
- A new surgical technique, the bilobed lateral artery perforator-based flap, was developed for breast-conserving surgery in patients with large central tumors, combining two existing flap methods.
- The study involved 37 women with malignant breast tumors treated between 2013 and 2022, with a focus on safety and aesthetic outcomes, showing promising results over a mean follow-up period of nearly 40 months.
- The technique yielded high satisfaction rates and few complications, effectively preserving breast tissue while managing larger tumors in patients without significant breast sagging.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!