Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 6 , Pages 460-464 , September 2010

The bilobed flap in skin cancer of the face: Our experience on 285 cases

  • Attilio Carlo Salgarelli, MD, DDS

      Affiliations

    • Department of Head and Neck, University of Modena and Reggio Emilia, Via del Pozzo, 71, 41100 Modena, Italy
    • Corresponding Author InformationAttilio Carlo Salgarelli, MD, DDS, Prof., Department of Head and Neck, University of Modena and Reggio Emilia, Via del Pozzo, 71, 41100 Modena, Italy. Tel.: +39 5 94223103; Fax: +39 5 937 3428.
    • ,
  • Alessandro Cangiano, MD

      Affiliations

    • Department of Maxillo-Facial Surgery, Carlo Poma Hospital, Via Lago Paiolo, 1, 46100 Mantova, Italy
    • ,
  • Francesco Sartorelli, MD

      Affiliations

    • Department of Maxillo-Facial Surgery, Carlo Poma Hospital, Via Lago Paiolo, 1, 46100 Mantova, Italy
    • ,
  • Pierantonio Bellini, MD

      Affiliations

    • Department of Head and Neck, University of Modena and Reggio Emilia, Via del Pozzo, 71, 41100 Modena, Italy
    • ,
  • Marco Collini, MD, DDS

      Affiliations

    • Department of Maxillo-Facial Surgery, Carlo Poma Hospital, Via Lago Paiolo, 1, 46100 Mantova, Italy

Received 17 March 2009 ,Accepted 21 October 2009.

References 

  1. Asgari MM, Bertenthal D, Sen S, Sahay A, Chren MM. Patient satisfaction after treatment of nonmelanoma skin cancer. Dermatol Surg. 2009;35:1041–1049
  2. Belmahi A, El Mazouz S, Gharib NE, Bencheikh R, Ouazzani S. The bilobed flap: a very efficient method in aesthetic reconstruction of small skin defects at the alar and tip regions of the nose. Ann Chir Plast Esthet. 2003;48:211–215
  3. Borges AF. Relaxed skin tension lines (RSTL) versus other skin lines. Plast Reconstr Surg. 1984;73:144–150
  4. Boyd AS, Shyr Y, King LE. Basal cell carcinoma in young women: an evaluation of the association of tanning bed use and smoking. J Am Acad Dermatol. 2002;46:706–709
  5. Breuninger H, Dietz K. Prediction of subclinical tumor infiltration in basal cell carcinoma. J Dermatol Surg Oncol. 1991;17:574–578
  6. Brodland DG, Zitelli JA. Surgical margins for excision of primary cutaneous squamous cell carcinoma. J Am Acad Dermatol. 1992;27:241–248
  7. Cho M, Kim DW. Modification of the Zitelli bilobed flap. A comparison of flap dynamics in human cadavers. Arch Facial Plast Surg. 2006;8:404–409
  8. Copcu E. Trilobed skin flap on the face: for reconstruction of full-thickness or commissural defects. Dermatol Surg. 2004;30:915–921
  9. Dubin N, Kopf AW. Multi-variant risk score for recurrence of cutaneous basal cell carcinomas. Arch Dermatol. 1983;119:373–377
  10. El-Marrakby HH. The versatile naso-labial flaps in facial reconstruction. J Egypt Natl Canc Inst. 2005;17:245–250
  11. Esser Jfs. A bilobed transpositional flap for nasal reconstruction. Dtsch Z Chirurg. 1918;143:335–339
  12. Fleming ID, Amonette R, Monaghan T. Principles of management of basal and squamous cell carcinoma of the skin. Cancer. 1995;75(Suppl. 2):699–704
  13. Ge NN, Mc Guire JF, Dyson S, Chark D. Nonmelanoma skin cancer of the head and neck II: surgical treatment and reconstruction. Am J Otolaryngol. 2009;30:181–192
  14. Huang CC, Boyce SM. Surgical margins of excision for basal cell carcinoma and squamous cell carcinoma. Semin Cutan Med Surg. 2004;23:167–173
  15. Mcgregor JC, Soutar DS. A critical assessment of bilobed flap. Br J Plast Surg. 1981;34:197–205
  16. Netscher DT, Spira M. Basal cell carcinoma: an overview of tumor biology and treatment. Plast Reconstr Surg. 2004;113:74E–94E
  17. Nichter LS, Morgan RF, Nichter MA. The impact of Indian methods for total nasal reconstruction. Clinic Plast Surg. 1983;10:635–647
  18. Pesic Z, Mihailovic D, Krasic D, Cosic A, Buric N. Advanced recurrent skin carcinomas of face – survival rate. J Craniomaxillofac Surg. 2008;36(Suppl. 1):S148
  19. Robinson JK. Risk of developing another basal cell carcinoma: a five-year prospective study. Cancer. 1987;60:118–120
  20. Rustemeyer J, Günther L, Bremerich A. Complications after nasal skin repair with local flaps and full-thickness skin grafts and implications of patients' contentment. Oral Maxillofacial Surg. 2009;13:15–18
  21. Schanoff LB, Spira M, Hardy SB. Basal cell carcinoma: a statistical approach to rational management. Plast Reconstr Surg. 1967;39:619–624
  22. Schliephake H, Neukam FW, Schmelzeisen R, Reiche C. Reconstruction of facial soft tissues after resection of skin tumors. J Craniomaxillofac Surg. 1994;22:342–348
  23. Silverstone H, Gordon D. Regional studies in skin cancer 2. Wet tropical and subtropical coasts of Queensland. Med J Aust. 1996;2:733–740
  24. Wanyura H, Stopa Z, Maciejak M. Surgical treatment of skin tumors of the head and the neck. J Craniomaxillofac Surg. 2008;36(Suppl. 1):S150
  25. Wettstein R, Kalbermatten DF, Rieger U, Farhadi J, Harr T, Pierer G. High magnification assessment improves complete resection of facial tumors. Ann Plast Surg. 2006;57:517–520
  26. Zimany A. The bilobed flap. Plast Reconstr Surg. 1953;11:424–434
  27. Zitelli JA. The bilobed flap for nasal reconstruction. Arch Dermatol. 1989;125:957–959

PII: S1010-5182(09)00198-X

doi: 10.1016/j.jcms.2009.10.022

Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 6 , Pages 460-464 , September 2010

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