The place of nasolabial flap in orofacial reconstruction: A review

Rahpeyma, Amin; Khajehahmadi, Saeedeh

doi:10.1016/j.amsu.2016.11.008

Cited by 33 publications

(31 citation statements)

References 73 publications

(65 reference statements)

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“…The thickness of the flap is determined by the reconstruction requirements used for covering small oral defects after tumor excision, resulting in good esthetic and functional effects. 13,18 Flaps can be used for the regeneration of the intraoral defects of the hard and soft tissues of the maxilla, palate, gingivae, and buccal mucosa, and for the restoration of different parts of the mouth, such as the anterior mouth floor. 19 A nasolabial flap also has very good blood supply from the adjacent tissues (i.e., dermal and subdermal plexuses as well as facial and transverse facial arteries).…”

Section: Discussionmentioning

confidence: 99%

“…It may lead to unwanted inclusion cysts, originating from hair follicles, which may leave unesthetic scars and may expose patients to unnecessary suffering. 13,[18][19][20] Free tissue transfer -a procedure described by Engroff et al -seems to be a good alternative. 21 It has to be mentioned that harvesting the proper soft tissue for the graft results in more wounds, which may lead to scars, and esthetic or various functional problems.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of an oronasal fistula in a patient on bisphosphonate therapy: A case study

Radziszewski¹,

Włodarczyk²,

Yafimtsau³

2020

Dent. Med. Probl.

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Bisphophonates (BPs) are a group of drugs used in treating bone diseases, which may lead to the deve lopment of the osteonecrosis of the jaw (ONJ). The negative impact of BPs on angiogenesis is among the causes of ONJ. The specific mechanisms of complications are unknown. What is taken into consideration is the trauma background, which, in combination with the implemented BP treatment, can induce bone ne crosis. One of the possible consequences of necrotic change progression is the development of an oronasal fistula. Treatment generally requires a surgical intervention. The paper describes the course of treatment of an oronasal fistula in a patient with BP osteitis, currently using an upper denture. The fistula arose a year after the removal of a protruding sequestrum in the region of the hard palate. An attempt was made to treat the fistula by the mobilization of soft tissues from the pa late and the bilayered closure of the fistula with the use of a pedicled connective tissue graft on the greater palatine artery, along with a Tinti-ParmaBenfenati (TPB) flap. The patient was subjected to appropriate postprocedural measures. Regular followups did not reveal any abnormalities in the course of healing. The use of the abovementioned procedure proved to be an effective method of treatment of an oronasal fistula. The use of a pedicled connective tissue graft for the closure of the oronasal fistula caused by BP therapy had a significant effect on the treatment outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Treatment of an oronasal fistula in a patient on bisphosphonate therapy: A case study

Radziszewski¹,

Włodarczyk²,

Yafimtsau³

2020

Dent. Med. Probl.

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“…Conventional nasolabial flaps were also described for oral reconstruction (Rahpeyma & Khajehahmadi, ; Singh, Singh, & Pandey, ) Designed as a true myocutaneous flap pedicled on the facial artery, the nasolabial flap is a robust and versatile flap. This area is relatively hairless except for the lower cheek in males.…”

Section: Discussionmentioning

confidence: 99%

“…Conventional nasolabial flaps have been described for intraoral reconstruction (Rahpeyma & Khajehahmadi, ), but a facial artery perforator flap may improve flap mobility and versatility, and its clinical application is here reported for reconstruction of a mouth floor defect after tumor resection. To the best of the authors’ knowledge, this technique has not been reported before.…”

Section: Introductionmentioning

confidence: 99%

The facial artery perforator flap for intraoral reconstruction of a mouth floor defect

et al. 2018

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Facial artery perforator flaps have been recently reported by different authors for perioral, nasal alar and cheek defects, but not for intraoral reconstruction. We have extended the use of the facial artery perforator flap in a 56-year-old man with a squamous cell carcinoma of left mouth floor, who was submitted to tumor resection with marginal mandibulectomy and left supraomohyoid neck dissection. The flap was designed according to the size of the defect (5 × 3 cm), centered on the perforator to create a symmetric flap and was tunnelled intraorally by means of a 90° rotation. The postoperative period was uneventful, allowing timely initiation of adjuvant radiotherapy. After 8 months, there were no signs of local recurrence or wound dehiscence, and functional outcomes were satisfactory. The main advantages of this flap in this case were the reduction in morbidity at the donor site with preservation of nerves, muscles and facial artery, and it allowed greater freedom. To the best of the authors' knowledge, this technique has not been reported before. It may constitute an important reconstructive option when dealing with similar defects, if our results are confirmed in larger series.

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“…The skin reservoir lateral to the naso-labial fold is used for reconstruction purpose. 3 It is a very simple, easy to harvest flap, with a rich blood supply which can be used for reconstruction of buccal mucosa, floor of mouth, tongue, lips, commissure etc. [4][5][6] Depending on the location of the pedicle, the NLF can be superiorly based, inferiorly based and centrally based.…”

mentioning

confidence: 99%

Versatility of the inferiorly based nasolabial flap for reconstruction in early oral cancer patients: Our experience in a tertiary cancer centre

Chandraiah

Hoda

Ghosh

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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Background: The nasolabial flap is a simple, yet efficient method of soft tissue reconstruction with a very reliable blood supply which can be used to reconstruct soft tissue defects of various parts of the oral cavity. Aim of the study was to study the effectiveness of the inferiorly based nasolabial flaps for reconstruction in early oral cancer patients.Methods: 28 patients with T1 or T2 malignant lesions of the oral cavity were studied retrospectively who underwent reconstructions using the inferiorly based nasolabial flap. Flap viability, wound problems, infections, function, scar and recurrence were noted post-operatively for all the patients included in the study. All patients were followed up for a minimum of 6 months after the surgery. Results: The nasolabial flap was used to reconstruct defects of buccal mucosa, oral commissure, lower lip, lateral border of the tongue, hard palate and the floor of the mouth. The flap was viable in all patients with no recurrences. Cosmetic and functional outcomes were good. However few patients developed minor complications like post-operative trismus, severe wound contracture, ectropion and infection and wound dehiscence. Intra oral hair growth over the flap used were one of the main problems in the majority of male patients.Conclusions: If proper attention is given to flap designing, operative technique and post-operative management, the NLF is a viable and versatile option for reconstruction of small to intermediate defects of the oral cavity created post ablation of early tumors of the oral cavity.

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The place of nasolabial flap in orofacial reconstruction: A review

Cited by 33 publications

References 73 publications

Treatment of an oronasal fistula in a patient on bisphosphonate therapy: A case study

Treatment of an oronasal fistula in a patient on bisphosphonate therapy: A case study

The facial artery perforator flap for intraoral reconstruction of a mouth floor defect

Versatility of the inferiorly based nasolabial flap for reconstruction in early oral cancer patients: Our experience in a tertiary cancer centre

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