The Zitelli design for bilobed flap applied on skin defects after digital mucous cyst excision. A review of 9 cases.

Mucous cysts do not always require treatment. Nevertheless, patients often ask for excision because of pain or esthetics. Flap coverage is usually a concomitant procedure, which improves the quality of the skin overlying the distal interphalangeal joint. We propose the Zimany bilobed flap in this indication, and particularly its newer geometric design developed by Zitelli. We report the use of this flap in 9 cysts. Wound healing was fast with a good outcome. This flap design is an easy, safe procedure, and the Zitelli geometric design is a clear improvement for the reproducibility and learning curve.