Bilobed flap for nasal reconstruction

Adam M. Feintisch, Aditya Sood, Mark Granick

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Commonly used in the reconstruction of facial skin defects, the double transposition bilobed flap is particularly suited for nasal defect reconstruction. Initially described by Zitelli in 1989, the bilobed flap has become the repair of choice for defects in the lower third of the nose (lateral tip, supratip, ala near the tip) measuring between 0.5 and 1.5 cm. By enabling the transposition of skin over a larger distance than would be possible via a single flap, the bilobed flap allows for the use of local tissue well matched in color and texture to the recipient site. Its design is favorable as the secondary defect may be closed primarily with minimization of dog-ear formation. The flap can be designed with its base medially or laterally, best suited for alar or nasal tip defects, respectively. The defect, flap, and surrounding donor site should all be undermined widely in the submuscular, perichondrial, and periosteal planes, in order to facilitate unrestricted flap transposition. This reduces the potential for nasal distortion, pin cushioning, or trap-door deformity.

Original languageEnglish (US)
Title of host publicationOperative Dictations in Plastic and Reconstructive Surgery
PublisherSpringer International Publishing
Pages311-313
Number of pages3
ISBN (Electronic)9783319406312
ISBN (Print)9783319406299
DOIs
StatePublished - Jan 1 2016

Fingerprint

Nose
Skin
Ear
Color
Dogs

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Feintisch, A. M., Sood, A., & Granick, M. (2016). Bilobed flap for nasal reconstruction. In Operative Dictations in Plastic and Reconstructive Surgery (pp. 311-313). Springer International Publishing. https://doi.org/10.1007/978-3-319-40631-2_73
Feintisch, Adam M. ; Sood, Aditya ; Granick, Mark. / Bilobed flap for nasal reconstruction. Operative Dictations in Plastic and Reconstructive Surgery. Springer International Publishing, 2016. pp. 311-313
@inbook{64406f94015e419396885c8b68a5fd8f,
title = "Bilobed flap for nasal reconstruction",
abstract = "Commonly used in the reconstruction of facial skin defects, the double transposition bilobed flap is particularly suited for nasal defect reconstruction. Initially described by Zitelli in 1989, the bilobed flap has become the repair of choice for defects in the lower third of the nose (lateral tip, supratip, ala near the tip) measuring between 0.5 and 1.5 cm. By enabling the transposition of skin over a larger distance than would be possible via a single flap, the bilobed flap allows for the use of local tissue well matched in color and texture to the recipient site. Its design is favorable as the secondary defect may be closed primarily with minimization of dog-ear formation. The flap can be designed with its base medially or laterally, best suited for alar or nasal tip defects, respectively. The defect, flap, and surrounding donor site should all be undermined widely in the submuscular, perichondrial, and periosteal planes, in order to facilitate unrestricted flap transposition. This reduces the potential for nasal distortion, pin cushioning, or trap-door deformity.",
author = "Feintisch, {Adam M.} and Aditya Sood and Mark Granick",
year = "2016",
month = "1",
day = "1",
doi = "https://doi.org/10.1007/978-3-319-40631-2_73",
language = "English (US)",
isbn = "9783319406299",
pages = "311--313",
booktitle = "Operative Dictations in Plastic and Reconstructive Surgery",
publisher = "Springer International Publishing",

}

Feintisch, AM, Sood, A & Granick, M 2016, Bilobed flap for nasal reconstruction. in Operative Dictations in Plastic and Reconstructive Surgery. Springer International Publishing, pp. 311-313. https://doi.org/10.1007/978-3-319-40631-2_73

Bilobed flap for nasal reconstruction. / Feintisch, Adam M.; Sood, Aditya; Granick, Mark.

Operative Dictations in Plastic and Reconstructive Surgery. Springer International Publishing, 2016. p. 311-313.

Research output: Chapter in Book/Report/Conference proceedingChapter

TY - CHAP

T1 - Bilobed flap for nasal reconstruction

AU - Feintisch, Adam M.

AU - Sood, Aditya

AU - Granick, Mark

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Commonly used in the reconstruction of facial skin defects, the double transposition bilobed flap is particularly suited for nasal defect reconstruction. Initially described by Zitelli in 1989, the bilobed flap has become the repair of choice for defects in the lower third of the nose (lateral tip, supratip, ala near the tip) measuring between 0.5 and 1.5 cm. By enabling the transposition of skin over a larger distance than would be possible via a single flap, the bilobed flap allows for the use of local tissue well matched in color and texture to the recipient site. Its design is favorable as the secondary defect may be closed primarily with minimization of dog-ear formation. The flap can be designed with its base medially or laterally, best suited for alar or nasal tip defects, respectively. The defect, flap, and surrounding donor site should all be undermined widely in the submuscular, perichondrial, and periosteal planes, in order to facilitate unrestricted flap transposition. This reduces the potential for nasal distortion, pin cushioning, or trap-door deformity.

AB - Commonly used in the reconstruction of facial skin defects, the double transposition bilobed flap is particularly suited for nasal defect reconstruction. Initially described by Zitelli in 1989, the bilobed flap has become the repair of choice for defects in the lower third of the nose (lateral tip, supratip, ala near the tip) measuring between 0.5 and 1.5 cm. By enabling the transposition of skin over a larger distance than would be possible via a single flap, the bilobed flap allows for the use of local tissue well matched in color and texture to the recipient site. Its design is favorable as the secondary defect may be closed primarily with minimization of dog-ear formation. The flap can be designed with its base medially or laterally, best suited for alar or nasal tip defects, respectively. The defect, flap, and surrounding donor site should all be undermined widely in the submuscular, perichondrial, and periosteal planes, in order to facilitate unrestricted flap transposition. This reduces the potential for nasal distortion, pin cushioning, or trap-door deformity.

UR - http://www.scopus.com/inward/record.url?scp=85029115996&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85029115996&partnerID=8YFLogxK

U2 - https://doi.org/10.1007/978-3-319-40631-2_73

DO - https://doi.org/10.1007/978-3-319-40631-2_73

M3 - Chapter

SN - 9783319406299

SP - 311

EP - 313

BT - Operative Dictations in Plastic and Reconstructive Surgery

PB - Springer International Publishing

ER -

Feintisch AM, Sood A, Granick M. Bilobed flap for nasal reconstruction. In Operative Dictations in Plastic and Reconstructive Surgery. Springer International Publishing. 2016. p. 311-313 https://doi.org/10.1007/978-3-319-40631-2_73