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Related Experiment Video

Updated: Aug 19, 2025

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

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Subcutaneous Randomized Nasolabial Flap: Our Experience.

Navneet Agarwal¹, Payal Kumbhat¹, Sukriti Agarwal²

¹Department of Otorhinolaryngology and Head and Neck Surgery, Dr. S.N. Medical College and M.D.M. Hospital, Jodhpur, Rajasthan 342003 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|December 1, 2022

Summary

This summary is machine-generated.

This study shows that subcutaneous nasolabial flaps are a viable and simple method for reconstructing oral cavity and nose defects after cancer surgery. These random-pattern flaps offer good results with minimal complications, simplifying the reconstruction process.

Keywords:

Nasolabial flap Randomised Subcutaneous

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Area of Science:

Plastic Surgery
Oncology Reconstruction

Background:

Nasolabial flaps represent a long-standing technique in reconstructive surgery.
Evaluating the efficacy of random-pattern subcutaneous nasolabial flaps is crucial for optimizing patient outcomes.

Purpose of the Study:

To assess the viability and complication rates of subcutaneous nasolabial flaps in patients with oral cavity and nasal carcinoma.
To determine if facial vessel preservation is necessary when using this flap type.

Main Methods:

A retrospective study of 38 inpatients undergoing excision and reconstruction for oral cavity or nasal carcinoma between January 2014 and December 2019.
Data collected included primary tumor site, reconstruction method, and postoperative complications.

Main Results:

The majority of cases (68.4%) involved buccal mucosa carcinoma.
Only 1 patient (2.6%) experienced total flap necrosis, and 3 patients (7.9%) had partial flap necrosis.
Facial vessels were ligated in all but 7 patients, with no significant increase in necrosis.

Conclusions:

Subcutaneous nasolabial flaps are a simple, viable, and easily harvestable option for reconstruction.
Preservation of facial vessels may not be mandatory for successful outcomes with this random-pattern flap.
The thinner profile of subcutaneously raised flaps facilitates easier inset and reduces bulk-related discomfort.