JOURNAL ARTICLE
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The rhombic bilobed flap for nasal reconstruction.

BACKGROUND: The bilobed flap is a useful tool for reconstruction of the nose but is occasionally complicated by pincushioning or trapdoor deformity.

OBJECTIVE: To describe the use of a rhombic bilobed flap for use in reconstructing defects on the lower third of the nose.

METHODS: Reconstruction of skin cancer defects following Mohs surgery was performed using a bilobed rhombic flap design in 10 patients.

RESULTS: Good to excellent results were seen in 9 of 10 patients. Significant pincushioning was not present postoperatively in any patient.

CONCLUSION: Despite some disadvantages, the rhombic bilobed flap is useful in reconstructing nasal defects on the lower third of the nose.

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