Facial plast Surg 2016; 32(03): 320-324
DOI: 10.1055/s-0036-1571808
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Use of Giant Bilobed Flap for Advanced Head and Neck Defects

Moustafa Mourad1, Demetri Arnaoutakis2, Raja Sawhney3, David Chan4, Yadranko Ducic4
  • 1Division of Facial Plastic Surgery, Department of Otolaryngology—Head and Neck Surgery, New York Eye and Ear Infirmary, New York, New York
  • 2Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology—Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas
  • 3Department of Otolaryngology Head and Neck Surgery, University of Florida, Gainesville, Florida
  • 4Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
Further Information

Publication History

Publication Date:
01 June 2016 (online)

Abstract

This article aims to review the use of giant bilobed flaps in the reconstruction of various large defects within the head and neck. A single case series study with chart review was performed. Various facial, neck, and mentum defects were documented, and closure was accomplished through a variety of medially and laterally based giant bilobed flaps. Preoperative and postoperative photography, as well as intraoperative planning, was performed. A total of 23 patients were able to achieve closure of facial, head, and neck defects with single-stage closure through the use of a giant bilobed flap. No tissue expanders, free tissue transfers, or skin grafts were required to achieve final closure, with acceptable cosmetic and functional results. Bilobed-shaped flaps allow for local tissue transfer in regions of otherwise limited tissue laxity and mobility, classically designed and utilized in the region of the nose. We describe its applicability to closure of large head and neck defects that may otherwise require free tissue transfer or the use of tissue expanders.