Bilobed Flap for Nasal Ala Reconstruction After Basal Cell Carcinoma Excision: Principles, Technique, and Outcomes
Main Article Content
Abstract
Background:Basal cell carcinoma (BCC) is the most common non-melanoma skin cancer, with the nasal ala being a high-risk region because of its convex shape, chronic ultraviolet exposure, and limited skin laxity. Surgical excision remains the definitive management, but reconstruction poses significant aesthetic and functional challenges.
Objective:To provide an in-depth review of bilobed flap design, indications, technical nuances, and outcomes for reconstruction of nasal alar defects following BCC excision, highlighting aesthetic subunits and modern geometric refinements.
Methods:A comprehensive synthesis of established anatomical, oncological, and reconstructive concepts is presented, supported by key publications in nasal reconstruction.
Conclusion:When used in accordance with modern principles, the bilobed flap is a reliable, single-stage solution for small to moderate nasal alar defects after BCC excision, offering excellent contour restoration and minimal morbidity.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
I. Rubin AI, Chen EH, Ratner D. Basal-cell carcinoma. N Engl J Med. 2005;353:2262–2269.
II. Mole RJ, Hohman MH. Bilobed Flaps. StatPearls. 2023.
III. Losco L, Barone M, Santanelli di Pompeo F, et al. Reconstruction of the nose based on aesthetic subunits. Medicina. 2020;56:639.
IV. Grieco MP, Bertozzi N, Grignaffini E, Raposio E. Nose defect reconstruction with the Zitelli bilobed flap. G Ital Dermatol Venereol. 2018;153:278–282.
V. Samudio Scavone EM, Monzón Cardozo RR, Feltes Escurra MN. Bilobed flap utility for local defects due to facial BCC. Cirugía Paraguaya. 2023;47:31–34.
VI. Zitelli JA. The bilobed flap for nasal reconstruction. Arch Dermatol. 1989;125:957–959.