Bilobed flap reconstruction for skin defects after parotid carcinoma surgery

Objective To analyse the treatment results of bilobed flap reconstruction performed for skin defects after parotid carcinoma surgery. Method Ten patients who underwent bilobed flap reconstruction for skin defects after parotid carcinoma surgery in our hospital, from 2014 to 2020, were retrospectively enrolled. Results All patients underwent bilobed flap reconstruction for skin defects after parotid carcinoma surgery. The size of the skin defect was 2.7 x 2.2 cm in the smallest dimension and 9.0 x 6.3 cm in the largest dimension. All bilobed flaps except one healed without any problems. One patient developed partial flap necrosis in the retroauricular region, and was treated with skin grafts after removal of the necrotic tissue under local anaesthesia. All bilobed flaps, including the cases in which skin grafts were performed, survived after post-operative radiotherapy or chemotherapy. Conclusion A bilobed flap is a good reconstruction option for skin defects after parotid carcinoma surgery in some cases.