ABSTRACT
There are a few reports on the reconstruction of the temple region, and it is funny that when you write a keyword for a literature search, it is the historical temple reconstructions that exist. There were 21 patients with temple defects in our archives. Among them, only the cases reconstructed with the bilobed flap were included in this study. Eight of the patients were operated on under local anesthesia; only one patient received general anesthesia (n=9). The base of the flap was always selected facing with the superficial temporal vessels. All of the patients’ pathological diagnoses were malignant skin tumors including Basal cell carsinoma (n=5) and squamous cell carsinoma (n=4). The results of the repair were satisfactory with respect to color match and texture. The bilobed flap should be kept in mind when searching a skin and subcutaneous tissue reconstructive technique on the temple region.
Keywords:
Temple, Skin Cancer, Reconstruction, The Bilobed Flap
References
1Dorland WA Newman. Dorland’s Illustrated Medical Dictionary. 27th ed. Philadelphia: WB. Saunders Co. 1988.
2https://dictionary.cambridge.org/ja/dictionary/english/temple
3https://plasticsurgerykey.com/forehead-and-temple-reconstruction/
4Olshinka A, Maricevich R, Shay T, et al. Algorithm for Temple Reconstruction With Consideration of Anatomic and Defect Characteristics. J Craniofac Surg. 2020;31:1261-1265.
5Gargano F, Scuderi N. Sideburn flap for temple reconstruction. Plast Reconstr Surg. 2006;117:2089-2090.
6Yenidunya MO, Seven E. The non-algorithmic nature of the hand burn contractures. Burns. 2007;33:1046-1050.
7Mirshams M, Razzaghi M, Noormohammadpour P, et al. Incidence of incomplete excision in surgically treated cutaneous squamous cell carcinoma and identification of the related risk factors. Acta Med Iran. 2011;49:806-809.
8Evans DM, Gateley DR, Lewis JS. The use of a bilobed flap in the correction of radial club hand. J Hand Surg Br. 1995;20:333-337.
9Onishi K, Maruyama Y, Okada E. Bilobed fasciocutaneous flap for primary repair of a large upper arm defect with secondary closure of the donor site without a skin graft. Ann Plast Surg. 1997;39:205-209.
10Young KA, Campbell AC. The bilobed flap in treatment of mucous cysts of the distal interphalangeal joint. J Hand Surg Br. 1999;24:238-240.
11Yao JM, Song JL, Xu JH. The second web bilobed island flap for thumb reconstruction. Br J Plast Surg. 1996;49:103-106.
12Cerqueiro-Mosquera J, Fleming AN. The bilobed flap: a new application in the reconstruction of congenital thumb deviation. J Hand Surg Br. 2000;25:262-265.
13Yenidunya MO. Axial pattern bilobed flap for the reconstruction of the midline forehead defects. Plast Reconstr Surg. 1999;103:737.
14Yenidunya MO, Demirseren ME, Ceran C. Bilobed flap reconstruction in infraorbital skin defects. Plast Reconstr Surg. 2007;119:145-150.
15Uwiera T, Seikaly H, Rieger J, et al. Functional outcomes after hemiglossectomy and reconstruction with a bilobed radial forearm free flap. J Otolaryngol. 2004;33:356-359.
16El-Khatib HA. Bilobed fasciocutaneous flap for reconstruction of the posterior neck after necrotizing fasciitis. Plast Reconstr Surg. 2004;114:885-889.
17Horch RE, Stark GB. The contralateral bilobed trapezius myocutaneous flap for closure of large defects of the dorsal neck permitting primary donor site closure. Head Neck. 2000;22:513-519.
18Yenidunya MO, Demirseren M, Uslu C. Large bilobed flap in the repair of face and neck defects. Eur J Plast Surg. 2004;27:131-134
19Mendez BM, Thornton JF. Current Basal and Squamous Cell Skin Cancer Management. Plast Reconstr Surg. 2018;142:373e-387e.
20Ouyang YH. Skin cancer of the head and neck. Semin Plast Surg. 2010;24:117-126.
