Bilobed Flap
Bilobed Flap - Reconstruction of the Nose
  


 

Nose Reconstruction - Bilobed Flap in a Patient With Basal Cell Carcinoma 

  • Slide 1. Nasal LesionPreoperative appearance of the nasal lesion. On biopsy, this was found to be a basal cell carcinoma.
  • Slide 2. Nasal DefectThe nasal defect after Mohs excision.
  • Slide 3. OperationSurgical Plan. Each lobe is at approximately a 45 degree angle and each is slightly smaller than the defect it fills. Note the defect of the last lobe is closed primarily and is placed at the junction between the cheek and naris. Depending upon where the defect is the lobes may vary between 45 to 60 degrees.
  • Slide 4. Appearance of the operative closure.Appearance of the operative closure.
  • Slide 5. Postoperative Appearance of NosePostoperative appearance 2 days after surgery.
  • Slide 6. Postoperative Appearance of NosePostoperative appearance seven days after surgery.
  • Slide 7. Postoperative Appearance of NosePostoperative appearance seven days after surgery. Inferior view, note that the nostrils are not distorted.
  • Slide 8. Postoperative Appearance of NosePostoperative appearance 22 days after surgery. Oblique view, note that the nostrils are not distorted.
  • Slide 9. Postoperative Appearance of NosePostoperative appearance 22 days after surgery. Lateral view, note that the left nasal alae is not distorted.
  • Slide 10. Postoperative Appearance of NosePostoperative appearance four months after surgery. Lateral view, note that the left nasal alae is not distorted.
  • Slide 11. Postoperative Appearance of NosePostoperative appearance four months after surgery. Anterior view, note that the left nasal alae is not distorted.

 

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Kevin T Kavanagh,  All Rights Reserved

Page Last Updated 08/18/2017 
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