Intra-oral reconstruction using the nasolabial flap.

Area of Science:

• Surgical Oncology
• Oral and Maxillofacial Surgery
• Plastic Surgery

Background:

• The nasolabial flap is a versatile surgical technique.
• Intra-oral defects often require complex reconstruction.
• Previous irradiation can complicate reconstructive procedures.

Purpose of the Study:

• To evaluate the efficacy and safety of the nasolabial flap for intra-oral reconstruction.
• To assess flap survival and complications in patients undergoing intra-oral cancer resection.
• To determine the suitability of the nasolabial flap in irradiated patients.

Main Methods:

• Eleven nasolabial flaps were utilized in nine patients.
• Six patients had a history of radiation therapy.
• Six patients underwent concomitant homolateral neck dissection.
• The primary indication was floor of mouth cancer with mandibular exposure.

Main Results:

• 100% flap survival was achieved in 10 out of 11 cases.
• One flap experienced partial tip necrosis when used for a complex lip defect.
• Donor site defects were minimal and well-tolerated.
• The procedure was suitable for both male and female patients.

Conclusions:

• The nasolabial flap is a reliable and effective method for intra-oral reconstruction, particularly for floor of mouth defects.
• It offers excellent survival rates and minimal morbidity, even in previously irradiated patients.
• Its versatility makes it a valuable tool in oncologic reconstruction of the oral cavity.