Cutaneous Reconstruction in Skin Cancer: Experience with Bilobed and Advancement Flaps. Report of Two Clinical Cases
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Abstract
Skin cancer is the most common malignant neoplasm worldwide, with basal cell carcinoma and squamous cell carcinoma being the most frequent types. Surgical excision with adequate oncologic margins is the treatment of choice; however, reconstruction of the resulting defects is essential to restore function and aesthetics, especially in visible facial areas. Local flaps are considered a reliable option due to their tissue viability, similarity to surrounding skin, and favorable aesthetic outcomes. This article presents two clinical cases of cutaneous reconstruction following skin cancer excision. The first case involves a 75-year-old male patient with basal cell carcinoma of the lateral nasal wall, treated with surgical excision and reconstruction using a bilobed flap. The second case involves a 48-year-old female patient with squamous cell carcinoma of the malar region, reconstructed using an advancement flap after wide excision. In both cases, the postoperative course was satisfactory, with proper flap integration, minimal tension on closure, absence of major complications, and optimal aesthetic and functional results. These cases demonstrate that bilobed and advancement flaps are safe, effective, and versatile techniques for facial reconstruction after skin cancer excision, and that flap choice should be individualized based on defect location, skin laxity, and patient aesthetic considerations, promoting functional restoration and harmonious healing.
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