Bilobed Flap for Reconstruction of a Large Keratoacanthoma of the Thumb

Agdoğan, Özgür; Karaçal, Rahşan

doi:10.1080/23320885.2019.1634477

Cited by 5 publications

(7 citation statements)

References 3 publications

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“…2,3,7 It is a versatile skin flap, increasingly used in other anatomical locations. 1,[4][5][6] This clinical case demonstrates that the bilobed flap is a good option for single stage closure of larger defects of the neck avoiding the need of tissue expanders, free tissue transfers or skin grafts. In addition to the simplicity of the procedure, good aesthetic and functional results are achieved.…”

Section: Discussionmentioning

confidence: 99%

“…Primary closure of the defect is not always feasible and skin grafting or local flaps are thus necessary. 1,2 The bilobed flap is a double transposition flap that is designed to recruit adjacent skin and soft tissue from areas of laxity to areas of skin deficiency. It is commonly used in small-to-medium size skin defects of the face, particularly of the nose, where skin is less mobile.…”

Section: Introductionmentioning

confidence: 99%

“…It is commonly used in small-to-medium size skin defects of the face, particularly of the nose, where skin is less mobile. [2][3][4] It was first described by Esser in 1918 for nasal tip reconstruction 1,2,5 and in 1953, Zimany optimized Esser's bilobed flap and applied it to a variety of reconstructive situations. 1,4,6 Herein, we report a case of a bilobed flap reconstruction in a patient with a large defect of the lateral portion of the neck following a basal cell carcinoma (BCC) excision.…”

Section: Introductionmentioning

confidence: 99%

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The Bilobed Flap as an Option for Large Neck

Bouceiro-Mendes

Mendonça-Sanches

Alpalhão

et al. 2020

SPDV

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The bilobed flap has been extensively used in the reconstruction of distal nasal defects. It is a local flap that recruits skin from areas where there is relative skin mobility to close defects in areas where the skin has less plasticity. Besides its usefulness in the reconstruction of small to moderate cutaneous nasal defects it can also be used to reconstruct large defects located in other anatomical areas. We present a clinical case in which the bilobed skin flap was employed to reconstruct a large surgical defect of the neck resulting from excision of a basal cell carcinoma, with excellent functional and cosmetic results.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Bilobed Flap as an Option for Large Neck

Bouceiro-Mendes

Mendonça-Sanches

Alpalhão

et al. 2020

SPDV

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“…Few reports have described their use after traumatic finger injuries, on the proximal thumb after Mohs micrographic surgery, or after excision of digital mucus cysts on the distal phalanx. [2][3][4] The Procedure…”

Section: Resolutionmentioning

confidence: 99%

Repair of a Proximal Digit Defect

Homan

Haque

Housewright

2021

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“…It is used extensively in the reconstruction of small-to-moderate-sized cutaneous facial defects [ 6 ] and, more recently, in lower limb defects [ 7 , 8 ]. In the hand, it has been used for coverage of small defects such as those resulting from digital mucous cyst excision [ 9 ], for the reconstruction of dorsal thumb defect following tumor excision [ 10 ], and for reconstruction of the webspace in syndactyly release [ 11 ]. In this case report, we present the use of a bilobed flap as a useful option for coverage of a dorsal finger defect over the proximal phalanx.…”

Section: Introductionmentioning

confidence: 99%

Bilobed Flap Coverage for the Reconstruction of Dorsal Soft Tissue Defect Over the Proximal Phalanx: A Case Report

Li,

Chang,

Gan

et al. 2024

Cureus

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Soft tissue defects over the dorsal finger are common and may result from trauma, burns, or surgical management of infections and tumors. We present a case where a bilobed flap was used for the reconstruction of a soft tissue defect dorsal to the proximal phalanx of the ring finger and discuss the design of this flap. The defect was secondary to a collar button abscess of the right third webspace and the surgical debridement required to control the infection. The exposed extensor tendon over the proximal phalanx required coverage. The bilobed flap was designed with the first lobe over the right middle finger proximal phalanx and the second lobe over the right second webspace and index finger. The flap healed uneventfully and the patient had good functional recovery. This design for a bilobed flap is suitable for soft tissue reconstruction of defects over the dorsum of the proximal phalanx. It is a simple, reliable, single-staged procedure that provides like-for-like reconstruction and has minimal donor site morbidity.

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Bilobed Flap for Reconstruction of a Large Keratoacanthoma of the Thumb

Abstract: We present the bilobed flap principle which can be used to reconstruct of large defects located on the dorsum of the thumb. The flap provides similar texture, colour and thickness as adjacent hand skin. The final results were excellent both functionally and cosmetically.

Cited by 5 publications

References 3 publications

The Bilobed Flap as an Option for Large Neck

The Bilobed Flap as an Option for Large Neck

Repair of a Proximal Digit Defect

Bilobed Flap Coverage for the Reconstruction of Dorsal Soft Tissue Defect Over the Proximal Phalanx: A Case Report

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