The bilobed flap for popliteal defect reconstruction

Abstract

Bilobed flaps were first introduced to close small nasal defects. We reconstructed a defect of the popliteal fossa using a random-pattern bilobed flap. We recommend the use of random-pattern bilobed flaps as a reliable technique for covering defects of the popliteal fossa.

Reconstruction of a surgical defect in the popliteal fossa: A case report

“…For larger defects, an axial-based approach to the bilobed, allowing for larger flap dimensions and enhanced viability, has been described using the sural arteries [ 3 ]. However, when considering smaller defects, a random-pattern design can also be successfully executed and may be a better alternative [ 4 ]. The latter avoids axial-associated challenges, including – issues with the donor site, prolonged surgery times, and increased technical challenges – and when defect-dimensions allow, may be favored over muscle flaps, fasciocutaneous flaps, free flaps, and tissues expansion.…”

The transnasal bilobed flap for medial canthal reconstruction

“…Esser in 1918 irst described and used the bilobed lap to repair nasal tip cutaneous defects [10][11]. Reconstruction of the medial canthus defects is an oculoplastic challenge to attain the optimal surgical and cosmetic results.…”

“…Due to the high lexibility and freedom of movement of the lobes, the bilobed design has been demonstrated to be versatile, reliable technically practical in microsurgery [11] and provides good cosmesis.…”