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[PDF] Nasolabial flap reconstruction of floor of mouth

Nasolabial flap reconstruction of intraoral defects is a well-recognised technique. Because the flap is pedicled on the facial artery, single-stage closure with a smaller pedicle may be achieved if the proximal portion of the flap is de-epithelialised. A robust blood supply helps to ensure flap. Nasolabial flap is a very good alternative It is locally available flap for the reconstruction of tonguein anterior 2/3rd with much reduced operating time and with minimal cosmetic defect at the donor site. It combines the pliability of the skin with the bulk required for the reconstruction of tongue..

Modified nasolabial flap is the nasolabial flap in which the distal part of the flap is defatted leaving only the dermis and epidermis intact, the distal part of the flap is then folded and used as inner or outer lining which creates a reconstruction that is thinner than the original folded flap [14] (Fig. 4) deltopectoral flap have also been used but are bulky and non-functional [8, 9]. Free microvascular flaps like radial forearm and anterolateral thigh flap have been used with varying variations and success rates [10, 11]. In modern literature, nasolabial flap was first described by a German surgeon, John Friedrich Dieffenbach in 1846. Sinc The nasolabial flap is an arterialized local flap in the head and neck region with an axial artery (inferiorly based) or by the superficial temporal artery through its transverse facial branch and the infraorbital artery (superiorly based). (6) The nasolabial flap may be superiorly or inferiorly based. An inferiorly based flap. We treated two patients requiring nasolabial flap reconstruction. The first patient was a 75-year-old man with mucoepidermoid carcinoma in the left-side floor of the mouth; requiring resection of the floor of the mouth, partial mandibulectomy, and left supraomohyoid neck dissection. The second patient was a 74-year-old man with recurrent acinic cell carcinoma in the anterior oral floor. Fig2:Per-operative mouth opening after fibrotomy and bilateral coronoidectmy (A) Incision marking for inferiorly based nasolabial flap (B) Flap elevated (C) DOI: 10.9790/0853-1801116568 ww.iosrjournals.org 66 | Page Rationale and application of Nasolabial flap in the Management of Oral Submucous Fibrosis-A

Nasolabial flap is an arterialized local flap. The blood supply of the nasolabial flap is by branches of facial artery.Nasolabial flap is very economical as it does not require any allograft material .It is a reliable reconstructive modality in case of small to moderate sized defects in oro-facial region The nasolabial flap can also be used as an interpolation flap in either a single or a staged technique. Disadvantages of the nasolabial flap are that there is a limited amount of tissue available, the reconstruction may lead to asymmetry, and a pincushioning effect of the cheek can occur when the flap is used for intraoral reconstruction Nasolabial flaps have been recognized as versatile flaps for a variety of defects in the face, nose, lip and the oral cavity and intraoral defects created after the excision of benign and malignant tumours. Nasolabial flaps have been utilized for covering small-to-medium size defects and usually require a second-stage procedure to divide the flap. To study the outcome of nasolabial flap in the.

The nasolabial flap is very versatile flap and one-stage flap for the basal cell carcinoma of nose and it is a very versatile flap for reconstructing moderate facial defect [1, 2].This flap can be used to reconstruct many areas of the nose [].The flap is based on the angular branch of facial artery, the infraorbital artery and the transverse facial artery [] The nasolabial flap is a versatile flap, which can be successfully used in the reconstruction of defects created after the release of fibrotic bands in OSMF. The versatility of the nasolabial flap has been attributed to its reliable vascularity derived from numerous vessels in the vicinity

(PDF) Rationale and application of Nasolabial flap in the

Nasolabial flap for reconstruction of oral cavity defects The first reported use of nasolabial flap as fas-cio-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. 2 Thiersch was the first to use a transbuccal transfer of this flap fo local flap. Large deep defects require a regional flap—a nasolabial7 or, most often, a forehead flap.8 A forehead flap is required when the defect is larger than 1.5 cm, requires replacement of sup-port or lining, or is adversely located within the infratip or columella. If the defect is larger than 1.5cm,especiallyifwithin0.5to1cmofthenostri • The nasolabial flap is a useful reconstructive technique for the repair of defects on the nose. An improved technique used in 32 patients is presented, which allows use of this procedure as a single-stage rather than the more commonly seen two-stage procedure. The alterations include the.. Nasolabial flap reconstruction of oral cavity defects: a report of 18 cases. PURPOSE This article describes the successful use of pedicled nasolabial flaps in the reconstruction of various oral cavity defects with or without adjunctive microvascular free tissue transfer. PATIENTS AND METHODS Twenty-eight flaps were performed in 18 patients, for. 1. Introduction. Replacement of the soft tissue loss after traumatic injuries or surgical excision requires soft tissue flaps. Nasolabial flap (NLF) cover is one of the oldest techniques to replace orofacial soft tissue defects .Sushruta, an Indian surgeon in 600 BC described a soft tissue flap very similar to what we know today as Nasolabial flap

Comparative Analysis between Nasolabial and Island Pedicle

(PDF) Bilateral Inferiorly Based Nasolabial Flaps for the

  1. Design and preparation of reversed nasolabial flap After complete resection, a reversed nasolabial flap pedicled with the superior labial vessels was designed and centered on the nasolabial area proximal to the paranasal and infraorbital defect (Figure 1). The shape of the flap was generally consistent with aesthetic subunit of the defect
  2. Introduction. One stage nasolabial flaps are used for small superficial defects within the sidewall or nasal ala. In this authors experience, the use of local nasal flaps (bilobed or dorsonasal flaps) may lead to adjacent landmark distortion. Because there is limited excess lax skin within the nasal surface, there is not enough skin to share
  3. imum visible donor site scar. Materials and Methods: This is a review of the patients operated for periocular defects using nasolabial flap

Nasolabial flap reconstruction in oral cancer (pdf) Paperit

(PDF) Comparison of paramedian forehead flap with

• Considerable confusion exists regarding the nature of the blood supply of the inferiorly based nasolabial flap. This report seeks to clarify the situation. Anatomic dissections were performed on 12 cadaveric specimens and microangiography on six others. We confirmed that the facial artery passes.. The nasolabial flap, while a common flap for the repair of other facial defects, is an under-recognized option for the reconstruction of the lower lip. We describe the use of nasolabial flap for the repair of a large defect of the lower lip in a ninety year-old male, with good functional results and acceptable cosmetic outcome Nasolabial flap is technically a simple flap to harvest and provides pliable skin for small-to-medium-size intraoral de-fects and facial defects. In such cases, nasolabial flap is an ideal reconstructive option. The use of nasolabial flaps facili-tates a fast and simple procedure, coupled with a very hig

Nasolabial Flap Reconstruction a b Fig. 4 A year after operation There is no scar contracture, donor site morbidity or functional disability. a: facial appearance, b: intraoral feature, *: nasolabial flap Fig. 5 The orthopantomography of post-operation The mandibular body was resected. Fig. 6 The design of nasolabial flap is marked o Nasolabial flap is the best option for trismus secondary to extra-articular causes. This flap can be easily adaptable, harvested with minimal surgical dexterity unlike other regional and free flaps. The take in time for this flap is excellent with very less complication rate owing to the robust blood supply

the nasolabial flap to reconstruct the nose. Fifty-seven years later, Esser described the use of the inferiorly based nasolabial flap to close palatal fistulae. Since these early publications, the nasolabial flap has been described for reconstruction of the floor of the mouth, lips, tongue, buccal mucosa, upper and lower alveolus, maxilla, an nasolabial flap to line the nasal floor and the cartilages as a single-stage procedure. Gillies introduced bilateral nasolabial flaps turned inward to line the nasal vestibule and collumella[6], a procedure that was later refined by Millard.[7] Septal mucoperichondrial flaps which ar NASOLABIAL FLAP VERSUS BUCCAL FAT PAD GRAFT IN THE SURGICAL MANAGEMENT OF ORAL SUBMUCOUS FIBROSIS- A PROSPECTIVE STUDY under our direct guidance and supervision in partial fulfillment of the regulation laid down by The Tamil Nadu Dr. M. G. R. Medical University, Chennai, for MDS, Branch-III, Oral and Maxillofacial Surgery Degree Examination.. Fig-3: Pre surgical marking of nasolabial flap Fig-4: Flap elevation The flap was then transferred into the oral cavity in a tension free manner and closure was done with simple interrupted sutures using 3-0 absorbable vicryl (figure 5). For better adaptation and stabilization of the flap, a transbuccal stay suture was passed

Utility of superiorly based platysma myocutaneous flap for

Nasolabial Flap: Versatile Flap for Basal Cell Carcinoma

, The main options for nasal ala reconstruction are paramedian forehead flap and nasolabial flap (superiorly or inferiorly based, V-Y advancement, and islanded). Many further modifications of the nasolabial flap have been described. Forehead flap leaves a donor site scar across the forehead and needs flap thinning later. It is better suited. nasolabial fold. The scars were more acceptable in older patients who had prominent nasolabial folds and laxity of the skin as compared to the younger patients (Figs. 4 and 5). The carcinogenic potential of the diesease is often under-estimated and because it is both common and follows a chronic course clinicians and patients tend to take it.

The nasolabial flap is a cutaneous axial flap based on angular artery perforators if superiorly based or facial artery perforator if inferiorly based, the tissues that compose the nasolabial flap lies over the facial and angular artery, lateral to the nasolabial fold and extends fro Nasolabial flap harvest technique A unilateral, inferiorly based flap comprising of skin and subcutaneous tissue was harvested without thinning the flap or deepthelizing the lowermost 2 cm, to facilitate one stage primary closure, from the nondominant side of the patient's face. The skin was carefully selected to avoid hair growth on the flap

option than nasolabial flap for reconstruction of in-traoral defects after surgical release of fibrous bands in patients with oral submucous fibrosis? A pilot study: A protocol for the management of oral submucous fibro-sis. J Craniomaxillofac Surg. 2014;42:111-6. [3] Mehrotra D, Pradhan R, Gupta S. Retrospective com-. rhomboid flap,4 cases by superiorly based nasolabial flap, 3 cases by bilobed flap and 5 cases by (SP-RIF) for ear reconstruction as shown in fig.6 ). Fig. 6. Schematic drawings of the surgical technique of (SP-RIF ). The skin is incised circumferentially .The subcutaneous tissue i Purpose: To evaluate the efficacy of nasolabial (NL) flap as a grafting technique in the management of oral submucous fibrosis (OSMF). Patients and Methods: A prospective randomized study was conducted including 10 patients who were treated surgically for OSMF. Patients with the chief complaint of long standing difficulty in mout a nasolabial flap and posteriorly with a pedicled BFP flap. All patients were analyzed for mouth opening, time taken for epithelialization, cheek flexibility, scar formation and intercommissural width. Results: The study showed epithelization for BFP took an average time of 4 weeks and mucosalization of NLF took a mean time of 5months

Versatility of nasolabial flaps for the management of

Nasolabial (ie, melolabial) flaps are suggested for repair of defects up to one-third of the upper lip, espe-cially when the vermilion is unaffected, or in lateral defects with or without commissure involvement.7,24-28 This flap is based on the facial artery and may be used as a direct transposition, V-Y advancement, or island flap wit One-Stage Nasolabial Flap is Used for Reconstruction of the Na-sal Ala. Forehead Flap is Used for Dorsal Nasal Reconstruction Figure 2. Reconstruction Plate and Bone Graft is Covered by Nasolabial Flap in a Trauma (Gunshot) Patient With a Lateral Mmandibular Defect Accompanied by Soft Tissue Loss Figure 3 The nasolabial flap is located on the nasolabial fold, it can be designed with a dimension of 2 × 5 cm, and corresponds to a type C fasciocutaneous pattern. Its dominant pedicle originates from the angular artery, the terminal branch of the facial artery, with a length of 1 cm and about 0.5 mm in diameter

Acharya, Dr. Sudeep and Shetty, Dr.Premalatha and Baliga, Dr.Mohan (2006) Nasolabial flap for reconstruction of Intra-Oral defects. Journal of Maxillofacial & Oral Surgery, 5 (3). pp. 13-18. PDF Nasolabial Flaps, Submental Flap, and Mucosa Graft following Complete Resection for Squamous Cell Carcinoma O.G.Oseni,A.E.Fadare,M.O.Majaro,andP.B.Olaitan Insertion of bilateral nasolabial aps and elevation of bipedicled mental ap. At the second stage of the surgery, the nasolabial ap A V-Y advancement flap was designed by setting the nasolabial fold as the superior margin and the elevated alar-facial groove as the medial margin. A cutaneous perforator flap was then elevated [1]. The scar tissue in the alar-facial groove, including the skin and subcutaneous layer, was minimally excised, by 1.0×0.2 cm (Fig. 2)

INTRODUCTION. The nasolabial (also called melolabial) flap was one of the first local flaps used for closure of defects in the midfacial area. It was described in 1846 by a German surgeon, Johann Friedrich Dieffenbach, and still remains the most useful option for reconstruction in the area of facial triangle due to its versatility and effectiveness. 1, 2 Over 560 articles were found in PubMed. Background: The nasolabial flap is a simple flap used for reconstructing small intraoral defects created after the excision of malignant tumors. Methods: A retrospective analysis of 26 cases of oral cancer treated with primary excision and nasolabial flap reconstruction was carried out Indication. The nasolabial interpolation flap is indicated for defects of the nasal alar in which there is no indication for primer synthesis, a V-Y advancement flap cannot be used in the wing, and there is no involvement of the alar or supra-alar sulcus. The nasogenian skin region, with its pores and sebaceous glands, appears similar to the.

The nasolabial flap is a simple flap used for reconstructing small intraoral defects created after the excision of malignant tumors. A 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 The nasolabial flap is an arterialized local flap in the head and neck region with an axial blood supply provided either by the facial artery (inferiorly based) or by the superficial temporal artery through its transverse facial branch and the infraorbital artery (superiorly based) . It is a reliable, versatile, and easy to raise flap for a. Background: Nasolabial flap is a work-horse flap for coverage of many facial units. However, these flaps have limited mobility and these limit their use in many instances. Facial artery with its numerous small cutaneous perforators can be a source for free-style skin flaps that can be islanded and have greater reach, one of which is nasolabial perforatory flap

The repair of large or deep alar defects following the surgical removal of melanoma and nonmelanoma skin cancer can be challenging. The repair of such defects has been largely dominated by the use of the nasolabial transposition flap, bilobed flap, and forehead flap. For smaller or more superficial defects, second intention and skin grafts are commonly used.The tunneled island pedicle flap. Nasolabial flap: Sushruta in 600 BC popularized by Esser and Ganzer reconstruction of facial skin defects of the upper lip, nose and cheek following extirpation of skin cancers. superiorly based nasolabial flap- closure of the oro antral fistulae. The bilateral inferiorly based nasolabial flap has utility in the reconstruction of the anterior. 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 , nose tip, nasal ala, and lower eyelids . The nasolabial flap may be superiorly or inferiorly based The superiorly based nasolabial flap is a random skin flap, with branches from the angular, infraorbital, trans-verse facial and infratrochlear arteries contributing to the subdermal plexus (9,10). The flap is rotated on a pivot point just superior to the lateral incision. The size of the flap is usually limited by the ability to close the. A nasolabial perforator flap based on nasolabial artery perforasome was used to cover this defect. To minimise the arc of rotation, the flap was designed adjacent to the defect site and its skin paddle was defined by mapping the perforators with an acoustic Doppler probe

The Nasolabial Flap as a Single-Stage Procedure JAMA

flow facial artery perforator flap is a good option for reconstructing the nose and perinasal cheek. Especially, the reverse facial artery perforator flap expands the range of nasolabial flap transfer to the nose. Improved aesthetic and functional outcomes can be obtained with a freestyle facial flap design. This technique also can hide th The nasolabial flap based on superiorly or inferiorly on the subcutaneous blood supply from the transverse, facial, and angular vessels can be used for buccal mucosal defect reconstruction. The rich collateral blood supply of the cheek is derived from the massetric, buccal, infraorbital and transverse facial arteries. [15 over the trapezius with its base upward and its apex at the clavicle measuring 12 cm wide the second came from the chest below the clavicle with its base upward and its apex at the anterior fold of the axilla measuring 12 cm the chest flap was turned under the neck flap as double pancake and kept flat between cardboard splints it was eventually attached to the cheek and later introduced into. Technique for Reconstruction of Nasal Alar Defects in Asian Patients with a Modified Bilobed Nasolabial Flap A B S T R A C T. Introduction: The Oriental nose differs from the Caucasian nose in terms of size, subunit definition, texture, and thickness of the skin [1]. Zitelli's bilobed flap enables aesthetic reconstruction in Caucasian noses but in smaller Oriental noses the outcomes are less.

Complete Philtrum Reconstruction on the Partial-Thickness

Lip reconstruction following resection for tumour or following extensive trauma may pose a challenge. This is more so when the resection is total and a complete lip has to be constructed. We present a case of lip reconstruction following a total resection of the upper lip. The procedure used in this case was a combination of bilateral nasolabial flaps with a submental flap and buccal mucosal. Conclusion: Nasolabial turn over local flap can be used as an option to close a relatively wide nostril . Open Journal Systems . Extended! An excellent researcher from many reputable universities to create Spring Water with the Grand Prize US$ 5.000 starting from 1 st April 2020 - 1 st November 2020. One of the requirements is the Spring Water. The nasolabial flap is a simple option for the reconstruction of selected oral defects. Though its use in floor-of-mouth reconstruction has been described, other uses in the oral cavity have not been studied extensively. We present a series of 224 oral malignancies where the nasolabial flap was used for reconstruction after surgical excision.. Nasolabial Flap Reconstruction of Oral Cavity Defects: A Report of 18 Cases Yadranko Ducic, MD, FRCS (C),* and Mark Burye, DDS† Purpose: This article describes the successful use of pedicled nasolabial flaps in the reconstruction of various oral cavity defects with or without adjunctive microvascular free tissue transfer

Nasolabial flap reconstruction of oral cavity defects: a

The superiorly based nasolabial pedicle flap is an effective and reliable technique for the reconstruction of the superior gingival and hard palate. The management of palatal defects resulting from surgical resection of malignant tumors uses a variety of methods, with the aim of allowing maximal postoperative function with minimal morbidity donor defect and complications. A unilateral nasolabial flap can cover a defect of 2 to 3 cm, The nasolabial flap is an axial flap but may be utilized as a random flap [8]. The flap receives its blood supply from the angular artery (a branch of the facial artery), the infraorbital artery, and the transverse facial artery [9] nasolabial flap and validates the necessity of complete de-epithelialisation. It is an important differential diagnosis if a new mass develops at the site of the original reconstruction. References 1. Hofstra EI, Hofer SO, Nauta JM et al. Oral functional outcome after intraora

The place of nasolabial flap in orofacial reconstruction

bilobed flap, nasolabial flap, forehead flap, or skin grafts has been commonplace. Each closure option has distinct advantages and disadvantages. With the tunneled nasolabial flap, a single suture line is easily concealed at the nasal-cheek junction. In contrast, the traditional nasolabial flap requires a caudal cutaneou A third option was a nasolabial interpolation flap. This is a two-stage procedure, however, requiring an intermediate step where the pedicle is divided and may also have caused blunting of the nasofacial groove. A fourth option was a paramedian forehead transposition flap, but this i nasolabial flap was designed and a pedicled musculcuatneous flap was raised . A tunnel was prepared (figure-10),by placing an incision just lateral to the defect. The tunneled segment of the flap was de-epithelialised. The flap was then passed through the tunnel into the defect (figure-2), the superior aspect of the flap was rolled upo Large (>1.5 cm) Nasolabial flap, forehead flap Composite defect including Free radial artery forearm flap 19 adjacent structures Fig. 5: Submental flap for intraoral and cheek defect Fig. 6: Deltopectoral pedicled flap for cheek defect with strategic delay after excision of squamous cell carcinoma of oral cavity artery

One stage nasolabial flap for Small superficial defec

BUCCAL FAT PAD FLAP Johan Fagan The buccal fat pad flap is an axial flap and may be used to fill small-to-medium sized soft tissue and bony defects in the palate, superior and inferior alveoli and buccal mucosa. It is often encountered as it bulges • Buccinator myomucosal flap • Nasolabial flap 6. Thornton J, Weathers W. Nasolabial flap for nasal tip reconstruction. Plast Reconstr Surg 2008;122:775-781. Significant upper lip height deficits accompany total rhinectomy in many patients. Bilateral superiorly based nasolabial flaps based on the rich subdermal plexus are an invaluable source of local tissue fo Nasolabial and forehead flap reconstruction of contiguous alareupper lip defects Jonathan A. Zelken a,b, Sashank K. Reddy c, Chun-Shin Chang a, Shiow-Shuh Chuang a, Cheng-Jen Chang a, Hung-Chang Chen a, Yen-Chang Hsiao a,* a Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwa nasolabial fold. The flap and skin around the defect were well matched with regard to both color and texture. 756 Yoon TH et al. Nasolabial island perforator-based flap A 48-year-old man with venous malformation (patient number 1). (A) A preoperative photograph. (B) Designed flap after the resection of the venou

Reliability of the Melolabial Flap for Alar Reconstruction

Nasolabial flap - Local and Regional Flaps in Head & Neck

  1. The flap was transposed intraorally through Nasolabial technique flap has versatility and a distinct edge in maintaining the mouth opening in long run and is advent over the other being local, easily, accessible and modifiable with single sitting operation. Linear closure o
  2. Inferiorly based nasolabial flap (IBNLF) was used as a back up flap for correction of residual defect. Conclusion: An inferiorly based Nasolabial flap (IBNLF) is a reliable backup flap for the reconstruction of small and medium sized secondary defects in the face and oral cavity
  3. with patient reconstructed by nasolabial flap i.e. 18.96 mm and 15.16 mm respectively with 'P' value > 0.05. Conclusions: Based on the results of this study, there was no significa nt difference in mouth opening after reconstruction with radial forearm free flap compared to nasolabial flap. Author detail

A V-Y advancement flap from the cheek is the main body of a flap that is combined with a turnover flap from the nasolabial fold to reconstruct full-thickness ala nasi defects, especially in elderly patients (11). As a different designed flap for reconstructing the ala nasi and the perialar region, the shark flap has been reported in the literature this reconstruction is the nasolabial flap supplied by facial and angular artery. [3,4] That flap can not be used in cases where: the tumor infiltration is deep and facial- angular arterial arcade is in - terrupted during surgery, or when this flap has been used in previous surgery. The use of perforator infraorbital islan Background, aim and objectives Oral submucous fibrosis is a chronic progressive premalignant condition, characterized by gradually increasing fibrosis of sub mucosa resulting in trismus thereby, limiting mouth opening. Various surgical modalities have been tried in the surgical management, but each has its own limitations. In the present study, extended nasolabial flap and buccal fat pad graft.