One stage reconstruction of the floor of the mouth with a subcutaneous pedicled nasolabial flap

El-Marakby, Hamdy H.; Fouad, Fouad A.; Ali, Ahmed

doi:10.1016/j.jnci.2012.02.002

Cited by 11 publications

(8 citation statements)

References 17 publications

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“…In addition to failure of the nasolabial flap to significantly improve the IIO[13] in patients afflicted with advanced OSMF, complications such as partial necrosis,[11548] total necrosis,[11548] intraoral hair growth,[12141552] unacceptable extraoral scar,[12131415628] wound dehiscence,[24] loss of nasomaxillary crease,[1215] orocutaneous fistula,[135234] ectropion,[623] and pincushioning effect around the nasolabial fold[155] may also occur. It is prudent to note that these complications occur in a significant proportion of operated patients but are eclipsed by the resultant increase in the IIO.…”

Section: Discussionmentioning

confidence: 99%

“…There was one case of ectropion and that was due to extending the upper limit of the flap to the inner canthus. [6]…”

Section: Discussionmentioning

confidence: 99%

“…Complications commonly associated with nasolabial flap include insignificant improvement in IIO,[13] partial necrosis,[11548] intraoral hair growth,[12141552] and unacceptable extraoral scar. [12131415628] However, the benefits far outweigh the risk of these complications. Moreover, the complications are minor in nature and can be corrected by local measures.…”

Section: Discussionmentioning

confidence: 99%

“…[56347] The use of nasolabial flaps has been documented for the management of defects in the anterior floor of mouth,[63489] and the maxillary and mandibular gingivae. [523410] The nasolabial flap has also been used for the reconstruction of ala of nose, septum and columella, dorsum of nose,[2411] buccal mucosa,[58] and defects of the lip and commissure.…”

Section: Introductionmentioning

confidence: 99%

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Complications in the use of bilateral inferiorly based nasolabial flaps for advanced oral submucous fibrosis

Kshirsagar

Mohite

Gupta

et al. 2016

Natl J Maxillofac Surg

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Surgical management of advanced oral submucous fibrosis (OSMF) using bilateral inferiorly based nasolabial flaps is becoming increasingly popular. However no comprehensive analysis of delayed complications using this technique is available in the literature. The authors have conducted a retrospective study to examine the delayed complications of bilateral inferiorly based nasolabial flaps used in advanced oral submucous fibrosis at their institute along with a detailed review of literature on the subject. Thirty-two patients from January 2004 to December 2015 with OSMF and an interincisal distance less than 15 mm were included. All patients were treated with bilateral inferiorly based nasolabial flaps for correction of the restricted mouth opening. All patients had postoperative physiotherapy and were followed up for a minimum period of 6 months. All complaints of patients during the follow up phase were included in this study. In this series, complications such as partial necrosis, intra-oral hair growth, unacceptable extra-oral scar, wound dehiscence, orocutaneous fistula, and pincushioning effect were observed. Numerous complications can occur with the use of nasolabial flaps for the management of advanced oral submucous fibrosis. Although most complications are of inconsequential nature the surgeon must observe due diligence when using this flap.

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Section: Discussionmentioning

confidence: 99%

“…There was one case of ectropion and that was due to extending the upper limit of the flap to the inner canthus. [6]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Complications in the use of bilateral inferiorly based nasolabial flaps for advanced oral submucous fibrosis

Kshirsagar

Mohite

Gupta

et al. 2016

Natl J Maxillofac Surg

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“…In fact, in patients with no history of hypertrophic or keloid scarring, the scar is barely visible, since it is camoufl aged by the nasolabial groove. The cosmetic outcome is satisfactory or very satisfactory for most patients [ 58 ].…”

Section: Complicationsmentioning

confidence: 91%

Reconstruction of Soft Tissue Defects with Regional Flaps

Escobar

Cruz

López

et al. 2015

Reconstructive Oral and Maxillofacial Surgery

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Regional fl aps are pedicle fl aps obtained from anatomical regions close to the defect to be constructed. Their advantages over pedicle fl aps are similarity with the skin adjacent to the defect (color, texture, and hair), the speed with which they can be harvested, and the lower cost, lower comorbidity, and lower personnel and infrastructure requirements. Their disadvantages are their limited size, limited distance between the donor site and the receptor site, and lower predictability when preparing compound fl aps with bone. Regional fl aps can sometimes be combined with microvascular free fl aps for the reconstruction of complex defects.

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