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Related Experiment Videos

The nasolabial rhomboid flap.

W T Lawrence1

  • 1Division of Plastic and Reconstructive Surgery, University of North Carolina, Chapel Hill 27599.

Annals of Plastic Surgery
|September 1, 1992
PubMed
Summary

This study introduces the nasolabial rhomboid flap for nasal and midfacial reconstruction. This refined technique combines advantages of existing methods, yielding high-quality results without dog-ears and requiring no revisions.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Facial Anatomy

Background:

  • Nasolabial flaps are common for nasal and midfacial defect reconstruction.
  • A common issue with nasolabial flaps is the 'dog-ear' deformity at the flap base.
  • Rhomboid flaps typically avoid this dog-ear complication.

Purpose of the Study:

  • To evaluate the efficacy of a combined nasolabial rhomboid flap for midfacial reconstruction.
  • To determine if this combined flap design minimizes dog-ear formation and improves aesthetic outcomes.

Main Methods:

  • A novel nasolabial rhomboid flap design was utilized.
  • The flap was employed for reconstruction in seven patients with nasal and midfacial defects.
  • Follow-up was conducted for at least 6 months post-reconstruction.

Main Results:

  • The nasolabial rhomboid flap was successfully used in all seven patients.
  • Reconstructions demonstrated high aesthetic quality.
  • No revisions were necessary in any of the cases after a minimum of 6 months' follow-up.

Conclusions:

  • The nasolabial rhomboid flap effectively combines the benefits of nasolabial and rhomboid flap designs.
  • This technique offers a refinement for midfacial reconstruction, maximizing aesthetic results.
  • The flap provides a reliable method for defect repair without requiring secondary revisions.

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