Reconstruction of the anterior floor of the mouth with the inferiorly based nasolabial flap

Wijk, M.P. van; Damen, A.; Nauta, J.M.; Lichtendahl, D. H. E.; Dhar, B. K.

doi:10.1007/s002380050250

Cited by 15 publications

(23 citation statements)

References 7 publications

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“…The flap success rate was 100% with no total or partial flap loss in spite of re exploration of one patient for the evacuation of a reactionary haemorrhage where the flap was resutured again without any effect on the vascularity. Such results compare favourably with the reported studies [3,22,24,25] where the incidence of partial flap loss was ranged from 5% to 6.5%.…”

Section: Discussionsupporting

confidence: 87%

“…Others reported no effect of ligation of facial artery even with prior radiotherapy [25]. In the present study all of our patients did not have radiotherapy preoperatively.…”

Section: Discussionmentioning

confidence: 86%

“…The simplicity and easiness of the technique can be particularly useful for edentulous elderly and high risk patients with moderate sized defects on the oral cavity [7,16]. The range of the defects varies from a small 2-4 cm to moderate 4-6 cm in width [19,24,25].…”

Section: Discussionmentioning

confidence: 99%

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

El-Marakby¹,

Fouad²,

Ali³

2012

Journal of the Egyptian National Cancer Institute

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An inferiorly based pedicled NLF is a reliable flap for the reconstruction of small and medium sized defects in the oral cavity. The flap can be best utilised for old edentulous and high risk patients where it can be used as a single stage procedure which is particularly useful in those types of patients. The flap can be safely combined with neck dissection even when the facial artery was ligated.

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Section: Discussionsupporting

confidence: 87%

“…Others reported no effect of ligation of facial artery even with prior radiotherapy [25]. In the present study all of our patients did not have radiotherapy preoperatively.…”

Section: Discussionmentioning

confidence: 86%

See 1 more Smart Citation

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

El-Marakby¹,

Fouad²,

Ali³

2012

Journal of the Egyptian National Cancer Institute

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“…2,3 Their advantages include a short operative time and little donor site morbidity. 4,5 However, local flaps are too bulky to situate in the right position and fit to the defect site. 6 If the defect is not reconstructed well, food transport without aspiration, natural speech, and breathing might be impossible.…”

Section: Discussionmentioning

confidence: 99%

Modified Folding Radial Forearm Flap in Soft Palate and Tonsillar Fossa Reconstruction

Kang

Park

Lim

et al. 2013

Journal of Craniofacial Surgery

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Wide excision of cancer arising from the tonsillar fossa and soft palate has several functional sequelae (e.g., speech, swallowing, chewing, and breathing) that require surgical restoration of the pharyngeo-palatal structure and optimal velopharyngeal function. For this purpose, several kinds of surgical procedures have been introduced. Our method to reconstruct the tonsillar fossa and soft palate entails folding the flaps and reconstructions at the same time as the oral and nasal planes, with some modifications.Patient 1 was a 64-year-old man with left soft palate cancer. After wide excision of the tumor, the defect size of the nasal floor was 3 × 3 cm, and that of soft palate and tonsillar fossa was 8 × 5 cm. Patient 2 was a 49-year-old man with left tonsil cancer. The defect size of the nasal floor was 3 × 3 cm, and that of left lateral wall of the tonsillar fossa was 8 × 3 cm. For reconstruction of oral, nasal, and tonsillar plane, we designed the flap fit to the defect site, especially cutting of the edge of the square plane of the flap to a round shape.Both patients achieved good functional recovery without surgical complications. The average speech intelligibility score in the 2 patients was 10. Swallowing functional score was 4 in both patients. Creative reconstruction with modified radial forearm free flap for tonsillar and soft palate area makes it possible to restore velopharyngeal function to levels close to the preoperative condition.

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“…They concluded that a lengthy and complex reconstruction is always not needed for small intraoral defects and the nasolabial flap offers a safe and simple alternative. [6] The largest publication of nasolabial flaps was by Varghese et al in 2001 of their series of 224 cases in which more complications were reported in post-irradiated cases than in primary (p=0.03). [7] Maurer et al in 2002, in their series of 26 patients reported that 23 patients (88%) underwent successful prosthetic rehabilitation after reconstruction of defects about the size of 5/5 cm caused due to resection of squamous cell carcinoma of the anterior floor of the mouth.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of the Nasolabial Flap in Reconstruction of Small Post-Ablative Defects of the Orofacial Region

Gupta¹,

Goud²,

Kumari³

2016

jemds

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BACKGROUNDResection of malignant lesions results in significant aesthetic and functional defects of the face and oral cavity. Reconstruction of large defects can be done with free and pedicled flaps. Because of bulk of pedicled flaps they may not give good cosmetic and functional results. Small-to-medium sized defects can be best managed by various local flaps. The Nasolabial flap is a simple flap used for the reconstruction of small-to-moderate orofacial defects created after the excision of primary malignant tumours, sometimes complimentary to other pedicled and free flaps.

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Reconstruction of the anterior floor of the mouth with the inferiorly based nasolabial flap

Cited by 15 publications

References 7 publications

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

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

Modified Folding Radial Forearm Flap in Soft Palate and Tonsillar Fossa Reconstruction

Efficacy of the Nasolabial Flap in Reconstruction of Small Post-Ablative Defects of the Orofacial Region

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