Large bilobed flap in the repair of face and neck defects

While the bilobed flap is an extremely useful flap and its usefulness in coverage of the small facial defects has been well described, there is no report related to its usage as an alternative to regional flaps, tissue expansion technique and free tissue transfers in the face and neck reconstruction. This report presents our experience with nine patients who had skin defects of their face and neck areas reconstructed with large bilobed flaps from adjacent areas. The results of the repair were satisfactory with respect to colour match, texture and functional properties. The purpose of this paper is simply to emphasize that this old and well-known technique for small-sized defects can also be suitable for reconstruction of large defects in the face and neck in selected cases.