The Bilobed Flap for Nasal Reconstruction.

Jeong, Doo Seong; Yun, Hyo Heon; Choe, Joon

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2001;28(5):590-593.
Published online September 1, 2001.

The Bilobed Flap for Nasal Reconstruction.

Doo Seong Jeong, Hyo Heon Yun, Joon Choe

Department of Plastic and Reconstructive Surgery, College of Medicine, Inje University, Seoul, Korea.

Abstract

Various methods of nasal reconstruction were performed over time. The physiology and anatomy of nose were clarified and its aesthetic subunits were employed, more improvement and modification were performed. The bilobed flap is particularly suitable for reconstruction of small or medium sized nasal defect up to 1.5 cm in diameter. Authors performed 6 cases of the bilobed flap for the defect of nasal dorsum (4 cases: basal cell carcinoma, 2 cases: compound nevus) from March 2000 to February 2001. The bilobed flap was medially based and second lobe was positioned on the nasal alar groove. This flap results in little or no distortion around tissue, by which scars of nasal dorsum and dog-ear deformity are reduced. Moreover we could achieve better cosmetic results for the scar, primary repair site of the second lobe, which is concealed by nasal alar groove.

Keywords: Bilobed flap; Nasal dorsum; Alar groove