Large Bilobed Flap from the Neck Weerda 1980b

We cover large defects of the lower lateral cheek and neck with a posteriorly based bilobed flap from the submandibular or neck-shoulder region. With exten-

Fig. 8.26 Use of a posterosuperi-orly based bilobed flap to close a defect in the lower cheek. a Outline of the superiorly based bilobed flap. b The completed repair.

Fig. 8.26 Use of a posterosuperi-orly based bilobed flap to close a defect in the lower cheek. a Outline of the superiorly based bilobed flap. b The completed repair.

sive defects, the flap should be delayed. We prefer a dorsi flap. If a skilled team is available, a radial fore-myocutaneous flap in older patients, i.e., a mucocu- arm flap can be transferred to the recipient site by taneous pectoralis major island flap or latissimus microvascular anastomosis (see Fig. 14.1).

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