Applicability of bilobed transposition flaps in extranasal locations

The bilobed flap is a local transposition flap originally described for the reconstruction of surgical defects of the nose. Its success and versatility are well recognized in this anatomical region; however, its use in extranasal reconstructions is less common. We present 5 clinical cases of extranasal applications of the bilobed flap that highlight its versatility across a wide range of anatomical sites. The locations include the hand (n = 1), foot (n = 1), ear and periauricular region (n = 1), chin (n = 1), and temporal region (n = 1). The surgical defects ranged from medium to large in size, with maximum diameters between 20 and 55 mm. All procedures were performed in a single session under local anesthesia, with no associated complications. All patients achieved good functional and aesthetic outcomes.