BACKGROUND: This article describes how many of the defects caused by oncological surgery can be closed with an easily estended flap. PATIENT AND METHOD: The Zitelli bilobed flap was used to treat 285 consecutive patients with basal cell carcinomas (BCCs) or squamous cell carcinomas (SCCs); 167 men (58.60\%) and 118 women (41.40\%) between 45 and 98 years of age. Histologically, 247 BCCs (86.6\%) and 38 SCCs (13.4\%) were documented. Regarding the site, 148 (51.9\%) involved the nose, 51 (17.9\%) the cheeks, 36 (12.6\%) the preauricular region, 27 (9.5\%) the perilabial region and chin and 23 (8.1\%) the periorbital region. To measure long-term satisfaction patients responded to a telephone survey consisting of a single global question. RESULTS: The size of the defect following tumour removal was between 1 and 4cm. Carcinomas up to 1cm were treated using a one step procedure with a cryostat test of the surgical margins; all others cases were treated using two step procedure after excision and histological in sano resection. Completely acceptable aesthetic and functional deficits were obtained in 275 (96.4\%) patients over a 6-72-month follow-up. Ten (3.6\%) patients suffered postoperative complications. Two cases of local infection; one case of completely flap necrosis and seven cases of partial revision due to flap necrosis occurred. The level of satisfaction with the surgical long-term result reported by the patients was high. CONCLUSION: In our experience the bilobed Zitelli flap for covering defects in the area of the face showed very few complications and good aesthetic results.

The bilobed flap in skin cancer of the face: our experience on 285 cases / Salgarelli, Attilio Carlo; A., Cangiano; F., Sartorelli; Bellini, Pierantonio; M., Collini. - In: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY. - ISSN 1010-5182. - STAMPA. - 38:(2010), pp. 460-464. [10.1016/j.jcms.2009.10.022]

The bilobed flap in skin cancer of the face: our experience on 285 cases.

SALGARELLI, Attilio Carlo;BELLINI, Pierantonio;
2010

Abstract

BACKGROUND: This article describes how many of the defects caused by oncological surgery can be closed with an easily estended flap. PATIENT AND METHOD: The Zitelli bilobed flap was used to treat 285 consecutive patients with basal cell carcinomas (BCCs) or squamous cell carcinomas (SCCs); 167 men (58.60\%) and 118 women (41.40\%) between 45 and 98 years of age. Histologically, 247 BCCs (86.6\%) and 38 SCCs (13.4\%) were documented. Regarding the site, 148 (51.9\%) involved the nose, 51 (17.9\%) the cheeks, 36 (12.6\%) the preauricular region, 27 (9.5\%) the perilabial region and chin and 23 (8.1\%) the periorbital region. To measure long-term satisfaction patients responded to a telephone survey consisting of a single global question. RESULTS: The size of the defect following tumour removal was between 1 and 4cm. Carcinomas up to 1cm were treated using a one step procedure with a cryostat test of the surgical margins; all others cases were treated using two step procedure after excision and histological in sano resection. Completely acceptable aesthetic and functional deficits were obtained in 275 (96.4\%) patients over a 6-72-month follow-up. Ten (3.6\%) patients suffered postoperative complications. Two cases of local infection; one case of completely flap necrosis and seven cases of partial revision due to flap necrosis occurred. The level of satisfaction with the surgical long-term result reported by the patients was high. CONCLUSION: In our experience the bilobed Zitelli flap for covering defects in the area of the face showed very few complications and good aesthetic results.
2010
38
460
464
The bilobed flap in skin cancer of the face: our experience on 285 cases / Salgarelli, Attilio Carlo; A., Cangiano; F., Sartorelli; Bellini, Pierantonio; M., Collini. - In: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY. - ISSN 1010-5182. - STAMPA. - 38:(2010), pp. 460-464. [10.1016/j.jcms.2009.10.022]
Salgarelli, Attilio Carlo; A., Cangiano; F., Sartorelli; Bellini, Pierantonio; M., Collini
File in questo prodotto:
File Dimensione Formato  
the bilobed flap . . sdarticle.pdf

Solo gestori archivio

Tipologia: Versione pubblicata dall'editore
Dimensione 684.37 kB
Formato Adobe PDF
684.37 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/645879
Citazioni
  • ???jsp.display-item.citation.pmc??? 5
  • Scopus 28
  • ???jsp.display-item.citation.isi??? 23
social impact