Delayed bipedicled nasolabial flap in facial reconstruction
Archives of Plastic Surgery
; : 253-258, 2018.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-714450
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
The nasolabial flap is ideal for reconstruction of the nasal alar subunit due to its proximity, color and contour match, and well-placed donor scar. When raised as a random-pattern flap, there is a risk of vascular compromise to the tip with increased flap length and aggressive flap thinning. Surgical delay can greatly improve the chances of tip survival, allowing the harvest of longer flaps with greater reach.METHODS:
We describe our technique of lengthening the nasolabial flap through multiple delay procedures. A bipedicled flap was first raised and then transferred as a unipedicled flap with a 61 length-to-width ratio. During the delay process, the flap tip was thinned to the subdermal layer.RESULTS:
In our case series of seven patients, defects as far as the medial canthal area and contralateral ala were reconstructed successfully with no incidence of tip necrosis or flap loss. The resultant flaps were thin enough to be folded over for the reconstruction of alar rim defects.CONCLUSIONS:
We highlight the success of our surgical technique in creating thin and robust nasolabial flaps for the reconstruction of full-thickness defects around the nose.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Surgical Flaps
/
Tissue Donors
/
Nose
/
Incidence
/
Cicatrix
/
Plastic Surgery Procedures
/
Nasolabial Fold
/
Graft Survival
/
Necrosis
Type of study:
Incidence study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2018
Document type:
Article