S M Dinehart1. 1. Department of Dermatology, Arkansas Cancer Research Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. sdinehart@pol.net
Abstract
BACKGROUND: The bilobed flap is a useful tool for reconstruction of the nose but is occasionally complicated by pincushioning or trapdoor deformity. OBJECTIVE: To describe the use of a rhombic bilobed flap for use in reconstructing defects on the lower third of the nose. METHODS: Reconstruction of skin cancer defects following Mohs surgery was performed using a bilobed rhombic flap design in 10 patients. RESULTS: Good to excellent results were seen in 9 of 10 patients. Significant pincushioning was not present postoperatively in any patient. CONCLUSION: Despite some disadvantages, the rhombic bilobed flap is useful in reconstructing nasal defects on the lower third of the nose.
BACKGROUND: The bilobed flap is a useful tool for reconstruction of the nose but is occasionally complicated by pincushioning or trapdoor deformity. OBJECTIVE: To describe the use of a rhombic bilobed flap for use in reconstructing defects on the lower third of the nose. METHODS: Reconstruction of skin cancer defects following Mohs surgery was performed using a bilobed rhombic flap design in 10 patients. RESULTS: Good to excellent results were seen in 9 of 10 patients. Significant pincushioning was not present postoperatively in any patient. CONCLUSION: Despite some disadvantages, the rhombic bilobed flap is useful in reconstructing nasal defects on the lower third of the nose.