Use of Nasolabial Flap in Oral Cancer Surgery: Our Experience in 96 Patients.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 3
Abstract
Surgical defects of oral cavity and orofacial region are challenging because of the aesthetic and functional demands and dynamic nature of the area. Reconstruction of defects following oral cancer surgery can be done with several methods. The flaps can be pedicled or free flaps. PMMC , being the most versatile flap and commonly used flap is relatively bulky. However, great expertise is needed for free flaps like radial free flap and is associated with donor site morbidity. Nasolabial flap is a relatively simple flap and can be of great advantage in reconstruction of small and medium size defects. The first reported use of nasolabial flap as fascio-cutaneous flap dates back to 600BC, as described by Pers and then for many centuries it has been used for nasal and lateral lip reconstruction. Thiersch 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. Wallace and Rose later introduced various modifications of the basic flap for single-stage transfer. Further flap modifications were introduced to obtain better cosmetic results and to cover relatively larger defects. The nasolabial flap is a very simple flap used for reconstruction of intraoral defects in the floor of the mouth , cheek, commissures , nose tip, nasal ala, and lower eyelids . The nasolabial flap may be superiorly or inferiorly based. 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. The choice of pedicle is based on the site of the defect and any need for rotation or advancement of tissue to the site of the defect. The flap may be thick or thin, depending on the requirement of the defect to be addressed and the thickness of the donor tissues. Intraoral reconstruction with a nasolabial flap is a simple and fast procedure with minimum donor defect and complications. This article reviews our experience with nasolabial flaps in the reconstruction of intraoral defects in oral malignancy surgeries.
Authors and Affiliations
Dr. Makarand Bhole
Keywords
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