The nasolabial flap also provides a good match but has limitations in reaching the nasal tip area and can distort alar contour. Zitelli reviewed 400 cases of bilobed flaps used in lower-third nasal reconstruction. Zitelli recommended wide undermining, and dermabrasion 6 weeks postoperatively if needed. Frequently, bilobed flaps can be used for temporal forehead defect repair. Primary closure and other local flaps can cause distortion of the eyebrow, scalp hairline, and lateral canthus of the eye.
Photograph shows a bilobed flap performed on cadaveric specimen.
Defektes vom ersten Zipfel durch den Zweiten. The bilobed island flap in nasal ala reconstruction. Bilobed flap reconstruction of the temporal forehead. The bilobed flap for nasal reconstruction. Medicine is a constantly changing science and not all therapies are clearly established.