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Related Experiment Videos

The versatile melolabial flap.

R A Younger1

  • 1Department of Surgery, University Hospital, Vancouver, British Columbia, Canada.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|December 1, 1992
PubMed
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The melolabial flap offers versatile reconstruction for central facial defects. However, flap viability is reduced by prior radiation and smoking, suggesting alternative methods for affected patients.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Facial Anatomy

Background:

  • The melolabial flap is a widely used technique for central facial defect reconstruction.
  • Its application extends to lower eyelids, nose, lips, chin, and malar regions.

Purpose of the Study:

  • To evaluate the versatility and outcomes of the melolabial flap for central facial reconstruction.
  • To identify factors affecting flap viability.

Main Methods:

  • Bilateral cadaver dissections of the melolabial area (n=10).
  • Review of 70 reconstructive cases utilizing the melolabial flap.
  • Statistical analysis of patient data and outcomes.

Main Results:

  • The melolabial flap demonstrated versatility in reconstructing various central facial structures.

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  • Flap viability was statistically compromised in patients with a history of radiation therapy or smoking.
  • Alternative reconstruction methods may be necessary for these specific patient groups.

    • Conclusions:

    • The melolabial flap is a valuable tool for central facial reconstruction.
    • Patient history of radiation and smoking are critical factors influencing flap viability and should guide surgical planning.