A New Twist to the Nasolabial Flap for Reconstruction of Lateral Alar Defects

Spear, Scott L.; Kroll, Stephen S.; Romm, Sharon

doi:10.1097/00006534-198706000-00010

Cited by 110 publications

(70 citation statements)

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“…It is mainly indicated in alar rim, sidewall, columella, and tip reconstruction. [8][9][10][11][12] Thus, after several stages of refinements, these flaps provide not only excellent color and texture match, but also appropriate skin adaptability and recreation of subtle nasal features. 4,5,7,12 Their use also prevents face and/or neck exploration for microvascular anastomosis and exhibits acceptable donor site morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…4,5,7 The nasolabial flap has also been described as an important surgical option to repair defects of the nose. [8][9][10][11][12] Venous congestion is one of the major flap complications in nasal reconstruction. This is prevalent in patients with panfacial burns and skin graft resurfacing because of the lack of subdermal plexus and eventually the damage of the supratrochlear vessels that run superficial to the frontalis muscle.…”

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confidence: 99%

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Strategies to Increase Flap Survival in Nasal Reconstruction in Patients With Deep Panfacial Burns

Medina

Tredget

2013

Journal of Burn Care & Research

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Total nasal reconstruction requires the management of skin, cartilage, and nasal mucosa. This three-dimensional surgical approach is especially restricted in patients with severe deformities after deep panfacial burns. In this regard, the development of tissue fibrosis reduces the quality and reliability of surrounded donor sites, limiting the surgical options and flap survival outcomes. This report discusses the benefit of tissue protection procedures, such as flap delay and leech therapy, in the total nasal reconstruction of a patient with split-thickness skin grafts on donor sites for forehead and nasolabial flaps.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Strategies to Increase Flap Survival in Nasal Reconstruction in Patients With Deep Panfacial Burns

Medina

Tredget

2013

Journal of Burn Care & Research

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“…Mucosal lining was restored with infolded extranasal flaps (i.e. nasolabial turnover flap [13]) or with skin graft of the undersurface of forehead flaps. Skeletal support was provided when structural rigidity was needed to maintain long-term results.…”

Section: Methodsmentioning

confidence: 99%

An approach to managing non-melanoma skin cancer of the nose with mucosal invasion: our experience

Chiummariello

Dessy

Buccheri

et al. 2008

Acta Oto-Laryngologica

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Basal cell carcinoma was the most common lesion (75%), followed by squamous cell carcinoma (25%). Ultrasonography excluded lymphatic involvement for SCC. Before final reconstruction, extemporary histological examination revealed the presence of tumour cells in three patients. After tumour extirpation, these patients were resubmitted to a new follow-up period before reconstruction. No recurrences were observed after definitive nasal reconstruction in all patients during the 5-year follow-up.

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“…Although favoured amongst trainees for its relative ease and remarkable cosmesis on the operating table, it does bring its own difficulties; it is our opinion that the nasolabial flap offers a poor reconstructive option as it has a relatively high incidence of pin-cushioning and swelling, which may take a considerable period of time to subside; residual puffiness is not uncommon. 4 The other major difficulty with the nasolabial flap is the asymmetry that results from blunting of the nasofacial angle. Attempting to avoid this by pivoting the flap above the nasofacial angle may accentuate the former problem by creating more flap dependency.…”

Section: Introductionmentioning

confidence: 99%