The Tertiary Arc for the Bilobed Flap

The AIRNS flap: An alternative to the bilobed flap for the repair of defects of the distal nose

“…10 Although Zitelli's modification of the bilobed flap remains a robust and widely adopted closure technique for the distal nose, because of the potential consequences of individual suboptimal flap design and execution 11,12 (eg, pincushioning, alar displacement, airflow obstruction), numerous adjustments ensuring its correct design have been proposed. [13][14][15][16][17] The AIRNS flap is an attractive single-stage alternative to the bilobed flap for the repair of defects of the distal nose. Like the bilobed flap, the AIRNS flap transfers skin and soft tissue, in a rotational fashion, from the reservoir of the upper nasal sidewall/cheek to the inelastic region of the nasal tip where it is required.…”

Reconstruction of Small Soft Tissue Nasal Defects

“…Local flaps can provide closure with minimal tissue resection and contour deformity. 5,[34][35][36][37][38][39][40] Additionally, they provide adjacent color-matched skin to repair the defect, carry their own blood supply, and are not dependent on the recipient site for a vascular blood supply. When carefully planned, local flaps provide very good cosmetic results, with scars hidden within natural creases.…”

The Rationale for Direct Linear Closure of Facial Mohsʼ Defects

“…Several methods of flap closure, including the bilobed flap, rhomboid flap, and others, have been presented for closing Mohs' defects. [3][4][5] Although these methods have their advantages, often it is more favorable to "just close the wound" as a direct linear closure. This first step on the reconstructive ladder is often overlooked in favor of more intricate local flap options.…”