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Journal of Dermatology Research and Skin Care | Volume 2
May 14-15, 2018 | Montreal, Canada
Spring Dermatology &
Skin Care Expo Conference
Background: There is no clarity if a bilobed flap is the best
treatment of choice for reconstruction of nasal tip defects.
Method: The nose of twenty patients was photographed 2
years after surgical excision of skin cancer and closure either
with a bilobed flap (n=7) or a full thickness skin graft (n=13).
Photographs were assessed by two dermatologists, two
plastic surgeons and two non-medically trained individuals,
applying the POSAS scale.
Results: There were no significant differences between
opinions of the two techniques. Overall, on a scale from 0
to 10 where 0 means ‘no visual abnormalities’ the bilobed
flap scored 2.22 versus 2.33 for the skin graft. Where
medical consultants preferred the bilobed flap, non-medical
individuals favored the skin graft closure.
Conclusion: We found no evidence to support the textbook
statement that the bilobed flap excels for reconstruction of
defects less than 1.5 cm around the nasal tip
Speaker Biography
M A Kemler is currently in private practice as a Plastic Surgeon at Martini Hospital
Groningen, Netherlands. He is the Member of the Dutch Society for Plastic Surgery
(NVPC) and also the Member of the Dutch Association for Hand Surgery (NVvH). He is
the author of over Research Publications, in peer-reviewed journals.
e:
Two year evaluation of either bilobed flap or full thickness skin graft as a closure technique of the
nasal tip
Marius A Kemler
Martini Hospital Groningen Netherlands