Versatility of nasolabial flaps in oral cavity reconstructions
Med. oral patol. oral cir. bucal (Internet)
; 19(5): e525-e530, sept. 2014. ilus, tab
Article
in English
| IBECS
| ID: ibc-126475
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
OBJECTIVES:
Describe the techniques involved and the results obtained with 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. STUDYDESIGN:
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 gingival 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
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Surgical Flaps
/
Nasolabial Fold
/
Mouth
/
Mouth Abnormalities
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Med. oral patol. oral cir. bucal (Internet)
Year:
2014
Document type:
Article
Institution/Affiliation country:
Hospital Universitario La Paz/Spain