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The facial artery island flap
T A Piggot1, A M Logan, S L Knight
1Department of Plastic Surgery, Newcastle General Hospital, Newcastle upon Tyne, Great Britain.
Annals of Plastic Surgery
|September 1, 1987
Summary
A modified nasolabial island flap offers a direct approach for floor of mouth defect repair. This technique improves reconstruction by utilizing all available nasolabial skin without bulky carriers.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Head and Neck Reconstruction
Background:
- Floor of mouth defects often require complex reconstruction.
- Traditional nasolabial flaps can involve bulky carrier skin, complicating intraoral placement.
Observation:
- A nasolabial island flap utilizing the facial artery and anterior facial vein is presented.
- The flap's pedicle can be routed deep or superficial to the mandible.
Findings:
- This flap allows direct routing into the floor of the mouth.
- It eliminates the need for bulky carrier skin over the alveolus.
- The entire nasolabial skin is available for defect reconstruction.
Implications:
- This technique offers a more versatile and efficient method for reconstructing floor of mouth defects.
- It simplifies the surgical procedure and potentially improves aesthetic and functional outcomes.
- This modification enhances the utility of nasolabial flaps in head and neck reconstruction.