Dărmănescu Monica 1, Trifu V 2, Chivu Sorina 2
1 Dermatology, The Institute of Mother and Child Care “Alfred Rusescu” Hospital, Bucharest
2 Dermatology, Central Emergency University Military Hospital, Bucharest
Abstract
The nose is the most frequent localization of skin cancer at the cephalic extremity. The dermatologist is familiar with all clinical aspects and the carcinologic properties of skin tumors, so he is at the forefront of the oncological skin surgery. The increasing incidence of cutaneous carcinomas has fueled the interest for refinement of the methods of nasal reconstruction. The bilobed flap, by its double transposition , can redistribute the tension vectors as to prevent distortion of the nasal pyramid. This article addresses the option of nasal reconstruction following skin cancer excision with anatomically adapted bilobed flaps. Special attention is given to discussions regarding the flap execution, from preoperative planning and design to the meticulous technique of suturing. We consider that intraoperative modifications of the standard technique should be a rule in approaching every individual case. The versatile bilobed flap represents a good reconstructive option for nasal reconstruction, being mindful that a well-known flap can be modified in innovative ways to reconstruct a defect.