Many reconstructive options have been brought into use based on the subunit principle introduced by Burget and Menick The nasolabial flap
have become one of the most commonly used reconstructive options for nasal defects.
The nasolabial flap
was harvested by marking the medial border of the flap on the nasolabial groove and extending the tip up to 15 mm below the medial canthus of the eye.
Forehead flap was the commonest modality of coverage [41%] followed by nasolabial flap
Distribution of flaps among nasal subunits Flap Nasal Alar Nasal dorsum region tip Sidewall Columella Bilobed flap 5 7 13 6 0 Nasolabial flap
0 34 0 1 3 Glabellar advancement flap 12 1 2 1 0 V-Y advancement flap 0 0 0 8 0 Malar advancement flap 0 3 0 9 0 Island flap 0 0 0 8 0 Anchor flap 0 0 1 0 0 Paramedian forehead flap 6 5 4 4 0 Flap Total Bilobed flap 31 Nasolabial flap
38 Glabellar advancement flap 16 V-Y advancement flap 8 Malar advancement flap 12 Island flap 8 Anchor flap 1 Paramedian forehead flap 19 BCC: basal cell carcinoma; SCC: squamous cell carcinoma; Other: actinic keratosis and keratoacanthoma
The large facial defect was reconstructed immediately with the vertical paramedian forehead flap, cheek flap, and nasolabial flap
For cheek reconstruction nasolabial flap
check advancement and check rotation flaps were most commonly used.
Burge, "Nasolabial flap
reconstruction of oral cavity defects: a report of 18 cases," Journal of Oral and Maxillofacial Surgery, vol.
One patient with a TDAP-osteocutaneous flap experienced ischemia in the distal portion of the flap and required debridement and a nasolabial flap
to close a palatal defect.
Reconstruction was performed with glabellar flap in 6 patients, forehead flap in 3 patients, V-Y advancement flap in 2 patients, and nasolabial flap
in 1 patient
Designed as a true myocutaneous flap based on the facial artery, the nasolabial flap
is a robust and versatile flap.
The buccal defects were then reconstructed by NasoLabial Flap
Objectives: The main objective of the study was to evaluate the efficacy of Nasolabial Flap
in the reconstruction of oral submucous fibrosis.