Bilobed Flap for Full-Thickness Nasal Defect: A Common Flap for an Uncommon Indication

Joan Ramon Garces, Alessandro Guedes, Marta Alegre, Agustin Alomar

    Research output: Chapter in BookChapterResearchpeer-review


    © 2014 American Society for Dermatologic Surgery. This chapter discusses the case of a 60-year-old woman who was referred for the treatment of a tumor of the alar rim and tip of the nose. Histopathological examination showed a sclerodermiform basal cell carcinoma. Four stages of Mohs surgery were needed to excise the entire tumor, which involved part of the nasal cartilage and nasalmucosa, resulting in a full-thickness defect. The bilobed transposition flap is a single-stage flap often used for restoring skin defects of the nasal supra-tip. This standard procedure was used in this case for an unusual indication, the reconstruction of a full-thickness nasa alar rim defect. Postoperative antibiotics were given, and sutures were removed 7 days postoperatively. The 6-month postoperative follow-up showed a satisfactory functional and aesthetic outcome.
    Original languageEnglish
    Title of host publicationReconstructive Conundrums in Dermatologic Surgery: The Nose
    Number of pages3
    Publication statusPublished - 5 May 2014


    • Alar rim
    • Bilobed flap
    • Full-thickness nasal defect
    • Mohs micrographic surgery
    • Sclerodermiform basal cell carcinoma


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