Use of Giant Bilobed Flap for Advanced Head and Neck Defects

Moustafa Mourad; Demetri Arnaoutakis; Raja Sawhney; David Chan; Yadranko Ducic

doi:10.1055/s-0036-1571808

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2016; 32(03): 320-324
DOI: 10.1055/s-0036-1571808

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Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Use of Giant Bilobed Flap for Advanced Head and Neck Defects

Authors

Moustafa Mourad

¹Division of Facial Plastic Surgery, Department of Otolaryngology—Head and Neck Surgery, New York Eye and Ear Infirmary, New York, New York
Demetri Arnaoutakis

²Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology—Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas
Raja Sawhney

³Department of Otolaryngology Head and Neck Surgery, University of Florida, Gainesville, Florida
David Chan

⁴Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
Yadranko Ducic

⁴Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

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.

Keywords

Mohs excision - bilobed flap - single-stage closure - facial defects

Full Text

References

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