Reconstruction of oral mucosal defects using the nasolabial flap: clinical experience with 22 patients

نویسندگان

  • Andre M Eckardt
  • Horst Kokemüller
  • Frank Tavassol
  • Nils-Claudius Gellrich
چکیده

BACKGROUND Various surgical options are available for reconstruction of intraoral soft tissue defects. For smaller defects of the oral mucosa in different anatomic locations of the oral cavity the nasolabial flap is a very useful and simple alternative to other pedicled flaps and free flaps. METHODS The results of reconstruction of oral mucosal defects or facial skin defects using 29 nasolabial flaps in 22 patients were reviewed retrospectively. RESULTS The patient group consisted of 16 patients (70%) with squamous cell carcinoma of the oral cavity, 2 patients (10%) with cystic lesions of the maxilla, 3 patients (15%) with osteonecrosis of the jaw, and 1 patient with an oral metastasis of a lung carcinoma. Healing was uneventful in 93%, partial or complete flap loss was observed in 7%. CONCLUSIONS The nasolabial flap is a valuable alternative for reconstruction of smaller defects of the oral cavity in particular in older and medically compromised patients.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Palate Mucoperosteum: An Usefull Adjunct in Buccal Mucosa Reconstruction

Background: Palate is a complex structure separating oro- and nasopharynx. However, reconstruction of the defects of palate is much simpler because of the versatile mucoperiosteal flaps. Here, we present our experience of palatal mucoperiosteal flap used in different situations. Methods: Fifteen patients of palatal as well as buccal mucosa defects were reconstructed using either free or pedicl...

متن کامل

Nasolabial flap reconstruction in oral cancer

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. In 22 cases, the excision was combined with neck dissection and facial artery ligation. RESULTS Good cosmet...

متن کامل

Reconstruction of Lateral Mandibular Defects with Soft Tissue Loss: The Role of the Submental Flap

Introduction: Mandibular continuity defects after pathologic resections or traumatic events are difficult cases for reconstruction. Defects involving both hard and soft tissue loss are more challenging, because of problems in soft tissue coverage. The role of the submental flap in this regard is presented.   Materials and Methods: In a retrospective study from the archived files of Ghaem Hospi...

متن کامل

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 a variety of oral cavity defects. RESULTS All flaps healed without evidence of necrosis, infection, or dehiscence. Patient ...

متن کامل

Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery Nasolabial Flap for Oral Cavity Reconstruction

Designed as a true myocutaneous flap pedicled on the facial artery, the nasolabial flap is a robust and versatile flap that is well suited to single-stage reconstruction of oral cavity defects or to staged reconstructions of facial defects (Figure 1). This chapter will focus on oral cavity reconstruction. The redundant skin extending from the medial canthus of the eye to the inferior margin of ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 3  شماره 

صفحات  -

تاریخ انتشار 2011