The Zitelli Design for Bilobed Flap Applied on Skin Defects After Digital Mucous Cyst Excision. A Review of 9 CasesJager, Thomas MD; Vogels, Jérôme MD; Dautel, Gilles MDTechniques in Hand & Upper Extremity Surgery: September 2012 - Volume 16 - Issue 3 - p 124–126 doi: 10.1097/BTH.0b013e3182560336 Techniques Abstract Author Information Mucous cysts do not always require treatment. Nevertheless, patients often ask for excision because of pain or esthetics. Flap coverage is usually a concomitant procedure, which improves the quality of the skin overlying the distal interphalangeal joint. We propose the Zimany bilobed flap in this indication, and particularly its newer geometric design developed by Zitelli. We report the use of this flap in 9 cysts. Wound healing was fast with a good outcome. This flap design is an easy, safe procedure, and the Zitelli geometric design is a clear improvement for the reproducibility and learning curve. Musculoskeletal Reconstructive Surgery Department, Emile Gallé Surgical Center, Nancy University Hospital Center, Nancy, France Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to Thomas Jager, MD, Musculoskeletal Reconstructive Surgery Department, Emile Gallé Surgical Center, Nancy University Hospital Center, 49 rue Hermitte, Nancy 54000, France. E-mail: email@example.com. © 2012 Lippincott Williams & Wilkins, Inc.