Korean J Dermatol.  2002 Sep;40(9):1064-1069.

Reconstruction with Bilobed Flap after Mohs Surgery of Basal Cell Carcinoma on the Nose

• Oh CK
• Jang BS
• Kim MB
• Jang HS
• Kwon KS

Abstract

BACKGROUND: The skin over the lower one third of the nose is less mobile and cannot be easily recruited for the closure of even small defects. In addition, the texture and color of the nose are so unique that neither distant nor nearby skin can always provide a good match. Therefore, when we reconstruct the surgical defect of lower one third of the nose, we must consider the reconstruction method, defect site or size, recurrence of the lesion such as basal cell carcinoma, patient age, general health state, and functional and cosmetic aspects. The bilobed flap is a useful tool for reconstruction of the nose but is occasionally complicated by pincushioning effect or trapdoor deformity.
OBJECTIVE
The propose of this study was to evaluate the usefulness of a geometric design of bilobed flap for use in reconstructing defect on the lower one third of the nose.
METHODS
From Februrary 1999 to March 2001, we reconstructed defects on the lower one third of the nose after Mohs surgery of basal cell carcinoma in 6 patients using the geometrical design of bilobed flap. Patients were reviewed for complications and cosmetic results.
RESULTS
Cosmetically acceptable results were seen in all patients. Significant pincushioning and trapdoor deformity were not presented postoperatively in any patients.
CONCLUSION
The geometrical design of bilobed flap is an excellent choice for reconstruction of defects of the lower one third of the nose, particularly around the nasal tip, because of the good skin match and low incidence of complication.

Keyword

Bilobed flap; Basal cell carcinoma

MeSH Terms

Carcinoma, Basal Cell*
Congenital Abnormalities
Humans
Incidence
Mohs Surgery*
Nose*
Recurrence
Skin