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Arch Facial Plast Surg. 2006;8(6):410.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this issue of the ARCHIVES, Cho and Kim¹ discuss a modification of the bilobed flap that involves the lengthening of the primary flap compared with the standard design that I published² for common use in nasal reconstruction. Their discussion is accurate for some defects but should not be considered a new standard for use in most situations. The standard bilobed flap is most useful for lateral nasal tip defects of 1 cm in diameter and in some cases up to 1.5 cm in diameter. In this location it recruits skin from the medial cheek and nasofacial sulcus by medial movement to close the secondary flap donor site and allow for medial movement of the primary flap. This motion is important in order to understand when it is necessary to lengthen the primary flap, as described in the article by Cho and Kim.¹ The examples used by Cho . . . [Full Text of this Article]

AUTHOR INFORMATION
John A. Zitelli, MD

RELATED ARTICLE

Modification of the Zitelli Bilobed Flap: A Comparison of Flap Dynamics in Human Cadavers
Michael Cho and David W. Kim
Arch Facial Plast Surg. 2006;8(6):404-409.
ABSTRACT | FULL TEXT  

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Analysis of Vector Alignment With the Zitelli Bilobed Flap for Nasal Defect Repair: A Comparison of Flap Dynamics in Human Cadavers
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Arch Facial Plast Surg 2008;10:181-185.
ABSTRACT | FULL TEXT