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Melolabial flaps for nasal reconstruction.

Seth A Yellin1, Ajani Nugent

  • 1Division of Facial Plastic Surgery, Department of Otolaryngology-Head & Neck Surgery, Emory Healthcare, Emory University School of Medicine, Facial Center, 5730 Glenridge Drive, Atlanta, GA 30328, USA. yellins@bellsouth.net

Facial Plastic Surgery Clinics of North America
|November 30, 2010
PubMed
Summary

Nasal reconstruction using the melolabial flap offers a reliable method for restoring nasal form and function. This technique utilizes local tissue, minimizing donor site deformity and achieving aesthetic results.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Facial Anatomy

Background:

  • Nasal reconstruction presents significant surgical challenges.
  • The melolabial flap is a versatile option for lower nasal reconstruction.
  • This flap leverages the rich vascularity of the melolabial fold.

Purpose of the Study:

  • To provide a comprehensive guide to melolabial flap reconstruction of the nose.
  • To detail the anatomical basis, surgical techniques, and outcomes.
  • To enable surgeons to achieve optimal aesthetic and functional results.

Main Methods:

  • Discussion of relevant cutaneous anatomy and vascular supply.
  • Guidelines for patient selection, preparation, and education.
  • Detailed description of flap design and surgical execution.

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  • Consideration of post-operative care and complication management.

    • Main Results:

    • The melolabial flap effectively transfers skin and soft tissue for nasal reconstruction.
    • It can be used for the lower one-third of the nose, nasal sidewall, or lining.
    • Donor site scars are concealed within the melolabial crease.

    Conclusions:

    • The melolabial flap is a valuable technique for nasal reconstruction.
    • Proper application ensures results that closely approximate the pre-injury state.
    • This method minimizes donor site deformity, enhancing patient satisfaction.