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Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery
BACKGROUND: To evaluate the versatility and reach of modified nasolabial flap used in reconstruction of defects created in and around the oral cavity. METHODS: A total number of 20 cases were selected. Out of which 13 were males and 7 females. The age of these patients ranged from 24–63 years. 29 mo...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Cleft Palate-Craniofacial Association
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759666/ https://www.ncbi.nlm.nih.gov/pubmed/29349048 http://dx.doi.org/10.7181/acfs.2017.18.4.243 |
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author | Mitra, Geeti Vajdi Bajaj, Sarwpriya Sharma Rajmohan, Sushmitha Motiwale, Tejas |
author_facet | Mitra, Geeti Vajdi Bajaj, Sarwpriya Sharma Rajmohan, Sushmitha Motiwale, Tejas |
author_sort | Mitra, Geeti Vajdi |
collection | PubMed |
description | BACKGROUND: To evaluate the versatility and reach of modified nasolabial flap used in reconstruction of defects created in and around the oral cavity. METHODS: A total number of 20 cases were selected. Out of which 13 were males and 7 females. The age of these patients ranged from 24–63 years. 29 modified nasolabial flaps were raised in twenty patients. Based on clinical and histopathological examination, out of 20 patients, 14 patients were diagnosed with oral submucous fibrosis, 3 with verrucous carcinoma, 1 with squamous papilloma, 1 with oro-antral fistula and 1 with traumatic loss of lower lip. RESULTS: Minimum preoperative interincisal distance (IID) was 0 mm and maximum was 15 mm with mean of 6.00±4.76 mm in patients with oral submucous fibrosis and 12 months postoperatively minimum IID was 16 mm and maximum was 41 mm with mean of 28.00±8.96 mm. In one case, dehiscence (3.4%) was noted on the anterior tip for which tip revision was done. Bulky appearance of the flap intraorally was observed in 2 cases (6.9%). Five (17.2%) among the 29 flaps had visible scar at the donor site postoperatively up to 3 months. CONCLUSION: Numerous reconstructive techniques have been employed in the reconstruction of small to intermediate sized defects of oral cavity. Modified nasolabial flap is a versatile flap which has robust vascularity and can be successfully used with minimal complications. It can be rotated intraorally to extend from the soft palate to the lip. Thus, it can be used efficiently to treat the small defects of the oral cavity as well as recreating lost lip structure. |
format | Online Article Text |
id | pubmed-5759666 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The Korean Cleft Palate-Craniofacial Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-57596662018-01-18 Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery Mitra, Geeti Vajdi Bajaj, Sarwpriya Sharma Rajmohan, Sushmitha Motiwale, Tejas Arch Craniofac Surg Original Article BACKGROUND: To evaluate the versatility and reach of modified nasolabial flap used in reconstruction of defects created in and around the oral cavity. METHODS: A total number of 20 cases were selected. Out of which 13 were males and 7 females. The age of these patients ranged from 24–63 years. 29 modified nasolabial flaps were raised in twenty patients. Based on clinical and histopathological examination, out of 20 patients, 14 patients were diagnosed with oral submucous fibrosis, 3 with verrucous carcinoma, 1 with squamous papilloma, 1 with oro-antral fistula and 1 with traumatic loss of lower lip. RESULTS: Minimum preoperative interincisal distance (IID) was 0 mm and maximum was 15 mm with mean of 6.00±4.76 mm in patients with oral submucous fibrosis and 12 months postoperatively minimum IID was 16 mm and maximum was 41 mm with mean of 28.00±8.96 mm. In one case, dehiscence (3.4%) was noted on the anterior tip for which tip revision was done. Bulky appearance of the flap intraorally was observed in 2 cases (6.9%). Five (17.2%) among the 29 flaps had visible scar at the donor site postoperatively up to 3 months. CONCLUSION: Numerous reconstructive techniques have been employed in the reconstruction of small to intermediate sized defects of oral cavity. Modified nasolabial flap is a versatile flap which has robust vascularity and can be successfully used with minimal complications. It can be rotated intraorally to extend from the soft palate to the lip. Thus, it can be used efficiently to treat the small defects of the oral cavity as well as recreating lost lip structure. The Korean Cleft Palate-Craniofacial Association 2017-12 2017-12-23 /pmc/articles/PMC5759666/ /pubmed/29349048 http://dx.doi.org/10.7181/acfs.2017.18.4.243 Text en Copyright © 2017 The Korean Cleft Palate-Craniofacial Association http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Mitra, Geeti Vajdi Bajaj, Sarwpriya Sharma Rajmohan, Sushmitha Motiwale, Tejas Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery |
title | Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery |
title_full | Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery |
title_fullStr | Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery |
title_full_unstemmed | Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery |
title_short | Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery |
title_sort | versatility of modified nasolabial flap in oral and maxillofacial surgery |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759666/ https://www.ncbi.nlm.nih.gov/pubmed/29349048 http://dx.doi.org/10.7181/acfs.2017.18.4.243 |
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