Abstract
BackgroundThe nasolabial flap is a simple flap used for reconstructing small intraoral defects created after the excision of malignant tumors.MethodsA retrospective analysis of 26 cases of oral cancer treated with primary excision and nasolabial flap reconstruction was carried out. In 22 cases, the excision was combined with neck dissection and facial artery ligation.ResultsGood cosmetic and functional results were obtained in almost all cases. Wound dehiscence developed in three patients, while one patient developed a persistent orocutaneous fistula. Disease recurrence occurred in one patient.ConclusionsThe nasolabial flap is a good flap for the reconstruction of small oral defects after excision of primary tumors and results in good overall cosmetic and functional outcome.
Highlights
The nasolabial flap is a simple flap used for reconstructing small intraoral defects created after the excision of malignant tumors
Several methods described for reconstructing oral defects use either pedicled or free flaps
The radial forearm free flap has become a preferable reconstruction method. It offers a large surface of thin, pliable skin that allows for complex reconstruction, but donor site morbidity rates are quite high, for example, through delayed wound healing and exposure of tendons
Summary
The nasolabial flap is a simple flap used for reconstructing small intraoral defects created after the excision of malignant tumors. The need of microsurgical expertise is a major disadvantage [1] This makes nasolabial flaps ideal for reconstruction of small intraoral defects. The nasolabial flap is a very simple flap used for reconstruction of intraoral defects in the floor of the mouth [2,3], the tongue, cheek, commissures [4], nose tip, nasal ala, and lower eyelids [5]. An inferiorly based flap is useful in reconstruction of the lip, oral commissure, and anterior aspect of the floor of the mouth, while superiorly based flaps are utilized for reconstruction of the ala and tip of the nose, and the lower eyelids and cheeks.
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call