Versatility of nasolabial flaps in oral cavity reconstructions

Abstract

Objectives: Describe the techniques involved and the results obtained witn nasolabial flaps in small and medium-sized defects of the oral cavity. The procedure is an easy resconstructive option with a high success rate and with very good aesthetic and functional outcomes. Study Design: A retrospective analysis of 16 nasolabial flap reconstructions in 15 oncological patients with oral cavity defects undergoing single-stage surgical interventions. We evaluate the tumor type, its location, size, the resective and reconstructive techniques involved, as well as any complications. Results: Out of 15 patients, 9 were male and 6 female, with ages ranging from 60-85 years. The primary tumor was located in the mandibular or maxillary gingiva in 7 patients, the lateral margin of the tongue in 5, the floor of the mouth in 3 and the mandibular symphysis in a single patient. The tumors were of a small to medium size. All patients underwent intraoral resections. In most cases, a cervical dissection was performed. All flaps were completed as single-stage surgical interventions, with 14 unilateral and 2 bilateral procedures. Five patients had received radiotherapy treatment for previous tumors. During the follow up period, which ranged from 4 months to 8 years, only one patient required their flap to be thinned, there were two incidents of surgical wound dehiscence, two hematomas and one orocutaneous fistula, none of which affected the survival of the flap. Conclusions: The nasolabial flap proves highly versatile in oral cavity reconstructions, coupled with a minimal morbidity of the donor region and good aesthetic and functional results. Its high vascularity allows for cervical dissections to be carried out or even for radiotherapy to be administered prior to it. It is straightforward, safe, and carrying it out as a single-stage intervention makes it the ideal surgical option for small to medium intraoral defects in edentulous patients with other comorbidities. Key words:Nasolabial flap, oral cavity reconstruction, oral cavity defects.

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

“…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.…”

Reconstruction of Soft Tissue Defects with Regional Flaps

“…If the fl ap is used for reconstruction of the infraorbital area, a safety margin of 7 mm from the medial canthus should be left in order to reduce the risk of ectropion [ 59 ].…”

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

“…[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.…”

“…Nasolabial flaps have been used in the reconstruction of defects created by surgical intervention for squamous cell carcinoma of tongue[ 1 2 3 4 ] as well as for the reconstruction of various intraoral and extraoral defects. [ 5 6 3 4 7 ] The use of nasolabial flaps has been documented for the management of defects in the anterior floor of mouth,[ 6 3 4 8 9 ] and the maxillary and mandibular gingivae.…”

“…Nasolabial flaps have been used in the reconstruction of defects created by surgical intervention for squamous cell carcinoma of tongue[ 1 2 3 4 ] as well as for the reconstruction of various intraoral and extraoral defects. [ 5 6 3 4 7 ] The use of nasolabial flaps has been documented for the management of defects in the anterior floor of mouth,[ 6 3 4 8 9 ] and the maxillary and mandibular gingivae. [ 5 2 3 4 10 ] The nasolabial flap has also been used for the reconstruction of ala of nose, septum and columella, dorsum of nose,[ 2 4 11 ] buccal mucosa,[ 5 8 ] and defects of the lip and commissure.…”