Nasolabial Flap Reconstruction of Floor of Mouth

Ikeda, Chihaya; Katakura, Akira; Yamamoto, Nobuharu; Kamiyama, Ikuo; Shibahara, Takahiko; Onoda, Norio; Tamura, Hidetoshi

doi:10.2209/tdcpublication.48.187

Cited by 9 publications

(8 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the bulkiness of the inferiorly based nasolabial flap may be a disadvantage and may cause some difficulties in wearing dentures [7]. Although the nasolabial flap has been initially used for reconstruction for nasal and facial skin defects [4,5] there is nowadays well documented evidence that this flap can be ideally used for reconstruction of smaller defects in the oral cavity [10-22]. The reported defect size ranged from small defects (2-4 cm) to moderate defects (4-6 cm) [3,7,9].…”

Section: Discussionmentioning

confidence: 99%

“…With an overall flap loss rate of 7% in our patient group, our results are in the range of other published flap loss rates. Even in cases who had undergone neck dissection with simultaneous dissection of a nasolabial flap on the same side, no adverse effects on blood supply of the flap were observed [7,22]. This in fact corresponds to the assumption that not only the facial artery supplies the flap, but probably a rich subdermal plexus [23].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reconstruction of oral mucosal defects using the nasolabial flap: clinical experience with 22 patients

et al. 2011

View full text Add to dashboard Cite

BackgroundVarious surgical options are available for reconstruction of intraoral soft tissue defects. For smaller defects of the oral mucosa in different anatomic locations of the oral cavity the nasolabial flap is a very useful and simple alternative to other pedicled flaps and free flaps.MethodsThe results of reconstruction of oral mucosal defects or facial skin defects using 29 nasolabial flaps in 22 patients were reviewed retrospectively.ResultsThe patient group consisted of 16 patients (70%) with squamous cell carcinoma of the oral cavity, 2 patients (10%) with cystic lesions of the maxilla, 3 patients (15%) with osteonecrosis of the jaw, and 1 patient with an oral metastasis of a lung carcinoma. Healing was uneventful in 93%, partial or complete flap loss was observed in 7%.ConclusionsThe nasolabial flap is a valuable alternative for reconstruction of smaller defects of the oral cavity in particular in older and medically compromised patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Reconstruction of oral mucosal defects using the nasolabial flap: clinical experience with 22 patients

et al. 2011

View full text Add to dashboard Cite

show abstract

“…The high vascularity of the flap enables a uni or bilateral ganglion dissection with facial artery ligation without having a detri-mental effect on the viability of the flap ( 13 - 15 ). Most patients, in line with our treatment protocols, underwent elective neck dissection without it having a negative effect on the flap.…”

Section: Discussionmentioning

confidence: 99%

Versatility of nasolabial flaps in oral cavity reconstructions

Alonso-Rodríguez¹,

Carretero²,

Morán-Soto³

et al. 2014

Med Oral

View full text Add to dashboard Cite

Objectives: Describe the techniques involved and the results obtained witn nasolabial flaps in small and medium-sized defects of the oral cavity. The procedure is an easy resconstructive option with a high success rate and with very good aesthetic and functional outcomes. Study Design: A retrospective analysis of 16 nasolabial flap reconstructions in 15 oncological patients with oral cavity defects undergoing single-stage surgical interventions. We evaluate the tumor type, its location, size, the resective and reconstructive techniques involved, as well as any complications. Results: Out of 15 patients, 9 were male and 6 female, with ages ranging from 60-85 years. The primary tumor was located in the mandibular or maxillary gingiva in 7 patients, the lateral margin of the tongue in 5, the floor of the mouth in 3 and the mandibular symphysis in a single patient. The tumors were of a small to medium size. All patients underwent intraoral resections. In most cases, a cervical dissection was performed. All flaps were completed as single-stage surgical interventions, with 14 unilateral and 2 bilateral procedures. Five patients had received radiotherapy treatment for previous tumors. During the follow up period, which ranged from 4 months to 8 years, only one patient required their flap to be thinned, there were two incidents of surgical wound dehiscence, two hematomas and one orocutaneous fistula, none of which affected the survival of the flap. Conclusions: The nasolabial flap proves highly versatile in oral cavity reconstructions, coupled with a minimal morbidity of the donor region and good aesthetic and functional results. Its high vascularity allows for cervical dissections to be carried out or even for radiotherapy to be administered prior to it. It is straightforward, safe, and carrying it out as a single-stage intervention makes it the ideal surgical option for small to medium intraoral defects in edentulous patients with other comorbidities. Key words:Nasolabial flap, oral cavity reconstruction, oral cavity defects.

show abstract

“…This makes nasolabial flaps ideal for reconstruction of small intraoral defects. The nasolabial flap is a very simple flap used for reconstruction of intraoral defects in the floor of the mouth [2,3], the tongue, cheek, commissures [4], nose tip, nasal ala, and lower eyelids [5]. The nasolabial flap may be superiorly or inferiorly based.…”

Section: Introductionmentioning

confidence: 99%

Nasolabial flap reconstruction in oral cancer

Singh

Pandey

2012

World J Surg Onc

View full text Add to dashboard Cite

BackgroundThe nasolabial flap is a simple flap used for reconstructing small intraoral defects created after the excision of malignant tumors.MethodsA retrospective analysis of 26 cases of oral cancer treated with primary excision and nasolabial flap reconstruction was carried out. In 22 cases, the excision was combined with neck dissection and facial artery ligation.ResultsGood cosmetic and functional results were obtained in almost all cases. Wound dehiscence developed in three patients, while one patient developed a persistent orocutaneous fistula. Disease recurrence occurred in one patient.ConclusionsThe nasolabial flap is a good flap for the reconstruction of small oral defects after excision of primary tumors and results in good overall cosmetic and functional outcome.

show abstract

Nasolabial Flap Reconstruction of Floor of Mouth

Cited by 9 publications

References 20 publications

Reconstruction of oral mucosal defects using the nasolabial flap: clinical experience with 22 patients

Reconstruction of oral mucosal defects using the nasolabial flap: clinical experience with 22 patients

Versatility of nasolabial flaps in oral cavity reconstructions

Nasolabial flap reconstruction in oral cancer

Contact Info

Product

Resources

About