Use of Nasolabial Flap in Intra and Extraoral Reconstruction: Our Experience with 40 Cases

BackgroundThe use of Nasolabial flap (NLF) to reconstruct orofacial soft tissue defects is one of the oldest methods for reconstruction in the medical literature. Despite widespread use of this invaluable flap, there are still controversies over the terms used for the description of this flap.Materials and methodsA search was run in PubMed for articles in English language on nasolabial flap in oral cavity/facial reconstruction, between 1960 and 2016. Inclusion criteria was case series that focused on the anatomy, flap design, blood supply, composition, flap motion, and the reconstructed area and donor site complications.Results560 articles were found in PubMed search for nasolabial flap (between 1960 and 2016). 84 articles with case series structure and available full text were included. The results of the search in this topic for anatomy, flap design, blood supply,NLF composition, flap motion, reconstructed area and donor site morbidity are presented.ConclusionNasolabial flap is an old flap for reconstructive purposes. Over time different modifications have been introduced to expand its usage. Clear definition of the terms used with this flap is given.

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“…Hypertrophic scars in susceptible individuals and wound dehiscence are two possible complications, when donor site is closed under tension [64].…”

Section: Resultsmentioning

confidence: 99%

The place of nasolabial flap in orofacial reconstruction: A review

Rahpeyma

Khajehahmadi

2016

Annals of Medicine &Amp; Surgery

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“…8 Nasolabial flap is a local arterialized flap with an axial blood supply either by the facial artery (inferiorly based flap), or by the superficial temporal artery through its transverse facial branch, and the infraorbital artery (superiorly based flap). [9][10][11] It can be easily raised, has reliable aesthetic results, versatile as it is used to reconstruct small to medium sized defects in orofacial region. The main disadvantage, being two stage procedure which requires flap release done as minor procedure under local anaesthesia In our study, 5.55% patients had laryngeal malignancy, of which all underwent total laryngectomy with bilateral selective neck dissection.…”

Section: Discussionmentioning

confidence: 99%

Reconstructive techniques in head and neck malignancies

Shashidhar

Doreyawar

Malick

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Head and neck malignancies are of common occurrence in India requiring early diagnosis for effective reconstruction by various surgical techniques. The aim of the present study was to evaluate the pattern of involvement of head and neck malignancies and to evaluate various surgical resection and reconstruction techniques used in the management of head and neck malignancies. Methods: This is a retrospective study carried out in the Department of ENT and Head & Neck Surgery And Surgical Oncology, Karnataka Institute Of Medical Sciences, Hubballi, from July 2015 to December 2016. All patients who underwent surgery for head and neck malignancy were included in our study. Results: Retrospective analysis of our study yielded 36 cases of which 29 patients were male and 7 were female. In our study commonest age group was 6th and 7th decade constituting 55.55%. The most common site involved was oral cavity constituting about 63.88%. The most common sub-site in oral cavity malignancy was found to be anterior 2/3rdof tongue (25%), followed by lip and buccal mucosa each of which constituted 13.88%. Conclusions: In our study oral cavity was the most common site to be involved in head and neck malignancies, of which anterior 2/3rd of tongue is the most common sub-site. Majority of the patients underwent tumour resection with flap reconstruction. Locoregional flaps form an efficient alternative in cases where primary closure is not possible without compromising the aesthetic outcomes.

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“…9 There was the first to use a transbuccal transfer of this flap for closure of palatal fistula and intraoral defects while Esser did a cutaneous nasolabial flap transfer in two stages to increase its reliability. 10 Wallace and Rose later introduced various modifications of the basic flap for singlestage transfer. Further flap modifications were introduced to obtain better cosmetic results and to cover relatively larger defects.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Nasolabial Flap in Buccal Mucosal Reconstruction in Oral Squamous Cell Carcinoma

Rokonuzzaman

Rahman

Islam³

2019

KYAMC j.

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Background: Surgical defects of oral cavity and orofacial region are challenging because of the aesthetic and functional demands and dynamic nature of the area. A multitude of reconstructive options are available and with the advent of musculocutaneous flaps and free microvascular tissue transfer, orofacial reconstruction has entered an era of sophistication whereby repair of defects of all types and sizes has become possible. Objectives: This study was conducted to evaluate the functional outcome, surface texture and complications of nasolabial flap for reconstruction in the buccal mucosal defects. Materials and Methods: A cross-sectional observational study was conducted 20 patients with clinical histological diagnosed squamous cell carcinoma (SCC;T1-T3 ) involving buccal mucosa attending in the Oral and Maxillofacial Surgery department of Dhaka Dental College and Hospital during this study period were included purposively in the study. All patients were treated by excision of the lesion and subsequent reconstruction of the defect by nasolabial flap. If indicated then patients received adjuvant radiotherapy. They were examined preoperatively, immediate postoperatively, on discharge and 3 months after operation. Data were analyzed by SPSS statistics (version 20) software. To find out the significance of the result one way ANOVA was conducted and the Post Hoc Test was done by LSD. Results: Among 20 patients 15% (3) patients developed infection, 15% (3) patients developed dehiscence. Trismus occurred in 5% (1) patient. In assessment of interincisal opening of the patients, 90% (18) presented with adequate interincisal opening but it has been reduced in 10% (2) patients after radiotherapy. In 90% (18) patients surface texture of the flap were smooth and in 10% (2) were partially smooth. Conclusion:The nasolabial flap has proved to be a useful and reliable option for reconstruction of defects of the buccal mucosa in order to allow wound closure without tension and maintain oral function. KYAMC Journal Vol. 10, No.-1, April 2019, Page 48-53

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Use of Nasolabial Flap in Intra and Extraoral Reconstruction: Our Experience with 40 Cases

Abstract: The inferiorly based nasolabial flap provides reliable coverage of intermediate-sized oral cavity defects when used alone. Minimal donor morbidity is associated with its use. It is especially useful in elderly patients with facial skin laxity and where esthetics is not a major concern.

Cited by 21 publications

References 12 publications

The place of nasolabial flap in orofacial reconstruction: A review

The place of nasolabial flap in orofacial reconstruction: A review

Reconstructive techniques in head and neck malignancies

Outcome of Nasolabial Flap in Buccal Mucosal Reconstruction in Oral Squamous Cell Carcinoma

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