LE LAMBEAU BILOBÉ DANS UNE PERTE DE SUBSTANCE DU VISAGE

Introduction : The spinocellular carcinoma occurs mainly after 40 years old. The excision of these tumors is the cause of loss of substances that pose the problem of reconstruction, especially for tumors localized to the face. The bilobed flap is a useful technique to cover the losses of substances. Observation : We describe a 72 years old patient who presents an advanced tumor of the right cheek measuring 6 × 4 cm. We performed a resection of the tumor with a safety margin of 1cm. The reconstruction uses the bilobed flap. The postoperative result is very satisfying. Discussion : More common for men than for women, this tumor is favored by excessive sun exposure, precancerous skin lesions, genetic diseases (xeroderma pigmentosum), chronic irritation (leukoplakia). Any suspect lesion should be biopsed. The spinocellular carcinoma spreads quickly locally, spreading to some nearby lymph nodes.treatment of choice for this tumor is surgery. The bilobed flap is particularly suited to reconstract the losses of substances of medium or large size localized to the face. Conclusion : The bilobed flap is a very interesting technique to cover the defect left by excision of a spinocellular carcinoma.