Our Experience with Nasolabial Flaps in Soft Tissue Reconstruction of Oral Malignancy; Feasible Option in Rural Set Up

Goyal, Rajiva; Singh, Chandra Veer; Jain, Shraddha; Parveen, Sana; Gupta, Prasheelkumar Premnarayan; Gupta, Deepak Premnarayan

doi:10.1007/s12070-020-02257-2

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…This can be handled by releasing the distalmost flap inset sutures. 9 During the course of our study, a single patient manifested flap duskiness within this temporal span. Unfortunately, despite intervention attempts like the release of flap inset sutures, the compromised flap's viability could not be restored.…”

Section: Discussionmentioning

confidence: 82%

The Islanded Nasolabial Flap: A Versatile and Reliable Flap for Reconstruction in Cancers of the Oral Cavity

Jain,

Ghosh,

Bhojwani

et al. 2023

South Asian J Cancer

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On the Indian subcontinent, oral cancer represents a significant health burden. Local flaps offer a viable alternative to free flaps in specific reconstructive scenarios where free flaps may not be feasible. The islanded nasolabial flap, based on the facial artery, proves to be a robust and versatile option for single-stage reconstructions of oral cavity defects. In this study, we share our experience employing the islanded nasolabial flap at a high-volume cancer center in Central India for reconstructing buccal mucosa and tongue defects. This prospective observational study focused on approximately 76 patients diagnosed with squamous cell carcinoma of the oral cavity (specifically, the anterior 2/3rd of the tongue and buccal mucosa) at our cancer hospital between August 2021 and January 2023. Initially, 76 patients were included; however, four patients were subsequently excluded due to inadvertent facial vein injury during neck dissection caused by level IB node invasion. Consequently, 72 patients underwent islanded nasolabial flap reconstruction and were monitored for postoperative complications and functional outcomes. Our study's patients fell within the age range of 24 to 81 years, with the majority between 40 and 50 years old. Most of our patients had carcinoma affecting the anterior two-thirds of the tongue (61.11%), followed by carcinoma of the buccal mucosa (38.88%). Surgical site infection occurred in four patients (5.55%) at the donor site, and one patient (1.38%) experienced flap necrosis after tongue carcinoma surgery. However, the majority of our patients (93.05%) experienced no postoperative complications. Speech intelligibility was good for all patients (100%) with buccal mucosa cancer. A significant portion of patients (78.57%) could tolerate a normal diet, while 21.42% required a soft diet. Among patients with tongue carcinoma, 56.81% had good speech intelligibility, and 43.18% had acceptable speech intelligibility. Regarding swallowing capacity assessment, 65.90% of patients tolerated a normal diet, and 34.09% could manage a soft diet. None of our patients had poor speech intelligibility, and none depended on a liquid diet or tube feeding. This study underscores the versatility of the islanded nasolabial flap in oral cancer resection reconstruction. The islanded nasolabial flap proves to be a straightforward, effective, and reliable technique with a low incidence of complications and exceptional functional outcomes, establishing it as a valuable reconstructive option for small-to-medium-sized oral defects. This is particularly noteworthy for high-volume centers and regions with limited resources.

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Section: Discussionmentioning

confidence: 82%

The Islanded Nasolabial Flap: A Versatile and Reliable Flap for Reconstruction in Cancers of the Oral Cavity

Jain,

Ghosh,

Bhojwani

et al. 2023

South Asian J Cancer

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“…For minor to severe oral cavity deformities, inferiorly based islanded nasolabial flaps offer a onestage procedure that is safer, quicker, and more dependable. 13…”

Section: Discussionmentioning

confidence: 99%

An epidemiological study of oral tobacco use amongst urban slum inhabitants in a town from central urban India

Kuruwanshi,

Joshi

2023

F1000Res

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Background: Smokeless tobacco users receive levels of nicotine known to be addictive, and clinical symptoms of dependency and withdrawal for smokeless tobacco are identical to those for cigarettes. Smokeless tobacco usage patterns share significant parallels with patterns of use of other addictive drugs. Because everyone spits after using oral tobacco, there are more persons who spit in public due toits use. Use of smokeless tobacco during pregnancy increases the chance of low-birth-weight babies by two to three times and is linked to stillbirths. Other negative health implications of smokeless tobacco use include dental decay, gum recession, high blood pressure, oral sub-mucous fibrosis (OSF), a crippling disorder, and mouth and food pipe malignancies. This warrants the study of patterns of oral tobacco use and its determinants in urban slum areas. Objective: To estimate the prevalence and patterns of oral tobacco use and assess the motivating and demotivating factors associated with it amongst urban slum inhabitants. Methods: A community-based cross-sectional study will be conducted in the urban field practice area of a tertiary care hospital. A semi-structured questionnaire assessing the socio-demographic profile, prevalence and pattern associated factors for oral tobacco use among the study participants will be implemented. Study implications: This study will help to determine the prevalence and pattern of oral tobacco use, as well as the motivating and demotivating factors that contribute to oral tobacco use. Insights gained shall be useful to implement focussed prevention strategies.

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“…On review it was found that the primary indication for selecting Nasolabial flap in a developing country is resource constraints [5]. Studies also reported of other indications namely time tested option in basic tertiary setting ,medically compromised patients, free flap salvage surgery [6].…”

Section: Pic 3 Final Appearance After Donor Side Closurementioning

confidence: 99%

Review of Nasolabial Island Flap as a Useful Option for Reconstruction of Intraoral Defects in Patients with Buccal Mucosa Carcinoma

Asia

Singh

2021

JPRI

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Oral carcinoma patients who have undergone tumor excision need tissue reconstruction. Literature reports of Nasolabial flaps as being one of the ways for such reconstruction. The Nasolabial Island flap surgery is known to be a simple, yet efficient method with a very reliable blood supply. Therefore, its advantage over some of the routine conventional techniques needs to be highlighted. A search was done in PubMed and other search engines, keywords were used for collecting information about research articles which cited Nasolabial flap usage for intra oral cavity reconstructive purposes for residual defects occurring after tumor resection in patients suffering from buccal mucosa carcinoma. The type of Patient selected, their details, flap surgery procedure details, reconstructed area , donor area and the surgical outcome in the relevant articles was noted. After the surgery good functional outcome was seen especially for swallowing, talking and tongue movement and reported in all articles. Patients were reported to be satisfied with the cosmetic appearance postoperatively. Nasolabial Island flap provides a practical and feasible option for buccal mucosa defects if they are smaller or moderate in size in early stages of cancers of the oral cavity. Nasolabial flap approach has been used since long in literature for repairing mucosal defects. Now with advances made in microsurgery, this technique has been modified into various types to cover a wide range of defects especially mild and moderate defects. Being relatively easier ,associated with fewer complications ,less time consuming ,it can be recommended for comorbid patients of buccal mucosa malignancy in the early stage who are unable to undergo long duration complex surgeries. It is also suitable for economically backward population of India as it is less costly.

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Our Experience with Nasolabial Flaps in Soft Tissue Reconstruction of Oral Malignancy; Feasible Option in Rural Set Up

Cited by 3 publications

References 14 publications

The Islanded Nasolabial Flap: A Versatile and Reliable Flap for Reconstruction in Cancers of the Oral Cavity

The Islanded Nasolabial Flap: A Versatile and Reliable Flap for Reconstruction in Cancers of the Oral Cavity

An epidemiological study of oral tobacco use amongst urban slum inhabitants in a town from central urban India

Review of Nasolabial Island Flap as a Useful Option for Reconstruction of Intraoral Defects in Patients with Buccal Mucosa Carcinoma

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