c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Bilobed Reconstruction of BCC Excision: 1

A D V E R T I S E M E N T

   
 

Patient is a 71 y/o female diagnosed with basal cell carcinoma involving the left ala of the nose. Surgical site has been appropriately prepared and patient anesthetized for the operation. Due to the sub-unit involvement and size of the lesion (1cm) a bilobed flap reconstruction has been planned after excision.      

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Bilobed Reconstruction of BCC Excision: 2

A D V E R T I S E M E N T

   
 

The diameter of the lesion is measured at 1cm and outlined for excision. A modified version of the lesser bilobe flap is done to avoid the pincushioning or trapdooring commonly seen with the standard resection.       

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Bilobed Reconstruction of BCC Excision: 3

A D V E R T I S E M E N T

   
 

The lesion is excised and the two arcs to be used for the lobes are drawn. The radius of the of the excision is used to create a pivotal point lateral to the excision. 

Using this pivotal point, one arc is drawn coming off tangentially to the defect, and another branching from the center point. 

The two lobes are drawn using the arcs as a reference with their widths slightly more narrow than the filling defect.     

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This page was last modified on 4/13/2016.