In our experience nasolabial flap is a very reliable flap for the alar defects after tumor resection. The nasolabial flap is a simple flap used for reconstructing. This patient is an 89yearold gentleman with a large squamous cell carcinoma of the right lateral nasal area. We propose a new protocol for the management of oral submucous. The nasolabial flap is a hardy flap that finds its use in the everyday reconstruction of various defects in the head and neck. The nasolabial flapa defensive reappraisal field 1990. This prospective study evaluates the efficacy of nasolabial. Case report reversed vascular nasolabial flap pedicled. The nasolabial flap may be raised as an axial flap, a random flap, or as an island flap. Mohs excisions can leave behind flat or obtuse edges, which make flap inset. The nasolabial flap is an excellent choice for use in reconstruction of the nasal alar subunit due to its inherent properties that match skin tone and the convexity of the nose. The nasolabial flap has been a mainstay in reconstructing nasal defects.
Find, read and cite all the research you need on researchgate. Disadvantages of the nasolabial flap are that there is a limited amount of tissue available, the reconstruction may lead to asymmetry, and a pincushioning effect of the cheek can occur when the flap is used for intraoral reconstruction. Nasolabial rhomboid flaps have been used successfully in seven patients. Nasolabial and cheek skin flaps plastic surgery key.
The choice between the two will depend on the location of the defect and the arc of rotation needed to reach it with the least amount of tension. Majority of nasolabial flaps have random pattern blood supply. The nasolabial flap is a simple option for the reconstruction of selected oral defects. The twostage nasolabial flap for subunit reconstruction of the ala. Nasolabial flap for oral cavity reconstruction vula university of. During flap preparation, the edges of the defect should be reverticalized. Sliding flap transferring a flap to its new position using a sliding similar to an advancement flap. The reverse nasolabial flap with a cartilage graft for the. The reverse or turnover nasolabial flap is a variant of the. The technique that thornton and weathers introduced has a fast learning. Research open access nasolabial flap reconstruction in.
Case report reversed vascular nasolabial flap pedicled with. O r nasolabial island flap in the management of oral. Disadvantages of the nasolabial flap are that there is a limited amount of tissue available. Often overlooked as an option to use in nasal reconstruction, the nasolabial flap can be very advantageous. Pdf the nasolabial flap was described 170 years ago and still remains one. This flap is often classified as an axial flap because there is a named artery. Pdf the nasolabial flap was described 170 years ago and still remains one of the most frequently used methods in facial reconstruction. Nasolabial flap reconstruction in oral cancer world. Nasolabial definition of nasolabial by medical dictionary.
Cameron editorial comment the versatility and usefulness of the nasolabial flap are well known. A nasolabial perforator flap based on nasolabial artery perforasome was used to cover this defect. All defects were restored by the reversed nasolabial flap pedicled with the superior labial artery. Nasolabial flap, ala reconstruction, skin tumors structive surgeon 4,5,6. Nasolabial flaps in oral reconstruction journal of plastic. In this procedure, skin is transplanted from the cheek to the nose in two outpatient procedures. The history of nasal reconstruction mirrors the history of plastic surgery, beginning with what commonly is believed to be the earliest plastic surgery procedure recordednasal reconstruction. For oral cavity reconstruction, the use of an inferi orly based nasolabial flap is preferred. Nasolabial flap for tongue reconstruction pjmhs online. The nasolabial flap is a simple flap used for reconstructing small intraoral defects created after the excision of malignant tumors. The nasolabial flap is an excellent choice for use in. Fiftyseven years later, esser 1921 described the use of the inferiorly based nasolabial flap to close palatal fistulae esser, 1921. It is commonly used as a superiorly based flap to reconstruct nasal defects and oral defects located in the upper sulcus or palate. Reconstruction of nasal ala with nasolabial perforator.
A retrospective analysis of 26 cases of oral cancer treated with. Efficacy of nasolabial flap in reconstruction of fibrotomy. The nasolabial flap is one of the most frequently used flaps in reconstruction of small. Besides providing a good colour match, the flap is easy to dissect and inset. Nasolabial flap definition of nasolabial flap by medical. The nasolabial flap has widely been used for an sized defect of the cheek, upper and lower lip, palate, and especially, the anterior floorof the mouth. Technique of nasolabial flap insetting using a tunnel. We believe that this provides an alternative method of total upper lip reconstruction with minimal disruption of the facial aesthesis. Nasolabial flap can have different thicknesses from full thickness cheek to thin dermis and. N2 by using stereographic angiograms, the three dimensional structures of skin perforators. The bilateral inferiorly based nasolabial flap has utility in the reconstruction of the anterior defects of the floor of the mouth. The flap was then rotated across the midline of the nose and secured to the perichondral flap. Considerable confusion exists regarding the nature of the blood supply of the inferiorly based nasolabial flap.
Melolabial flap a flap from the medial cheek is used as a transposition often erroneously. This article reaffirms its extensive applicability and seeks to forestall unaesthetic reconstructions by consideration of preventive steps. The procedure used in this case was a combination of bilateral nasolabial flaps with a submental flap and buccal mucosal graft lining. Its main indications are deep and extensive defects of the nasal ala. Reconstructions in all instances have been of high quality, and no revisions have been required after at least 6 months of. Nasolabial flap for tongue reconstruction 321 p j m h s vol. He is shown preop left, immediately following surgery. The place of nasolabial flap in orofacial reconstruction.
The intervening skin between the two defects was excised. Pdf background the nasolabial flap is a simple flap used for reconstructing small intraoral defects created after the excision of malignant. Prefabricated nasolabial flap for reconstruction of full. The nasolabial interpolation flap is an essential flap in nasal reconstruction. Design and preparation of reversed nasolabial flap after complete resection, a reversed nasolabial flap pedicled with the superior labial vessels was designed and centered on the nasolabial area proximal to. Nasolabial flap reconstruction in oral cancer ncbi. Nasolabial flaps are frequently used to repair defects of the nostril and nasal tip. Reconstruction of the nasal defects by nasolabial flaps. Various surgical modalities have been used in the surgical management of oral submucous fibrosis with variable results. To minimise the arc of rotation, the flap was designed adjacent to the defect site and its skin paddle was. The first and the foremost technique that is thought for the reconstruction of maxillofacial. A preoperative view and b postoperative view following wide excision and reconstruction. Ohtsuka editorial comment in treating defects of the face, the possibility of primary closure and even the use of split or fullthickness skin. Flaps for oral and maxillofacial reconstruction thieme connect.
A report of 18 cases yadranko ducic, md, frcs c, and mark burye, dds purpose. Reconstruction of nasal skin cancer defects with local flaps. Nasolabial skin flaps to the cheek plastic surgery key. Errors in design and construction of this flap have caused many to condemn it and move away from its use. Nasolabial medical definition merriamwebster medical. The nasolabial flap can also be used as an interpolation flap in either a single or a staged technique. Case reports in surgery hindawi publishing corporation. Pdf nasolabial flap reconstruction in oral cancer researchgate. Reconstruction of the nasal defects by nasolabial flaps 66 the nasolabial flap can be taken from the area of redundancy that extends from the inner canthus to the inferior margin of the mandible. Use of nasolabial flap in the management of oral submucous. Full thickness skin grafts give a better cosmetic result than a nasal labial flap but should only be used for small superficial defects. For reconstruction of the buccal mucosa, lower alveolus. Research open access nasolabial flap reconstruction in oral cancer seema singh, rajesh kumar singh and manoj pandey abstract background. In the nasolabial region are lines or creases that run between the nose and mouth and should be assessed for symmetry.