Ann Dermatol.  2019 Aug;31(Suppl):S39-S40. 10.5021/ad.2019.31.S.S39.

Bilobed Flap with a Plication Suture for Reconstruction of an Infraorbital Defect

• Lee HJ
• Jang YH
• Lee WJ
• Lee SJ
• Kim JY

• KMID: 2456673
• DOI: http://doi.org/10.5021/ad.2019.31.S.S39

Abstract

No abstract available.

MeSH Terms

Sutures*

Figure

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  Fig. 1 (A) The patient presented with a squamous cell carcinoma measuring 1.4×1.1 cm on the left infraorbital skin. (B) An incomplete traditional bilobed flap was designed for the surgical defect. (C) The distance from the pivot of the flap to the lateral tip of the defect was longer than that of the primary lobe in the design.

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  Fig. 2 (A) A plication suture (yellow arrow) along a long axis of the defect pulled the lateral tip of the defect toward the pivot. (B) Modified shape of the defect enabled the incompletely designed traditional bilobed flap. (C) This surgery resulted in a cosmetically and functionally good outcome at a 5-month follow-up.

Reference

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2. Yenidunya MO, Demirseren ME, Ceran C. Bilobed flap reconstruction in infraorbital skin defects. Plast Reconstr Surg. 2007; 119:145–150.

3. Lee MA, Whang KK. Repair with combined flap of bilobed and rotation of a defect following Mohs micrographic surgery. Ann Dermatol. 1996; 8:47–50.

4. Kantor J. The fascial plication suture: an adjunct to layered wound closure. Arch Dermatol. 2009; 145:1454–1456.