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[Reversed vascular full-thickness nasolabial flap]
Annales De Chirurgie Plastique Et Esthetique
|June 1, 1994
Summary
This study presents a vascular island nasolabial flap for nasal reconstruction. The flap offers a reliable single-stage solution for alar lobule and nasal sidewall defects, achieving good outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Head and Neck Surgery
Context:
- Nasal defects, particularly full-thickness alar lobule or nasal sidewall defects, pose significant reconstructive challenges.
- Current reconstructive techniques may involve multiple stages or result in suboptimal aesthetic and functional outcomes.
- The need for versatile and reliable flap options for nasal reconstruction is well-established.
Purpose:
- To describe and evaluate the efficacy of a superiorly pedicled vascular island full-thickness nasolabial flap for single-stage nasal reconstruction.
- To assess the flap's suitability for repairing full-thickness defects of the alar lobule and the lower half of the nasal sidewall.
- To report on the outcomes, including aesthetic results and donor site morbidity, of this reconstructive technique.
Summary:
- A superiorly pedicled vascular island full-thickness nasolabial flap, utilizing reverse blood flow from the facial artery and vein, was employed.
- This composite musculo-mucocutaneous flap was used in 32 patients for single-stage repair of alar lobule (18) or nasal sidewall (14) defects.
- Venous drainage could be supplemented by a muscular pedicle if the vein was unavailable; secondary defatting was required in 37.5% of cases.
Impact:
- The described nasolabial flap provides a successful single-stage reconstructive option for significant nasal defects.
- The technique resulted in good aesthetic and functional outcomes with minimal donor site sequelae in all evaluated cases.
- This flap represents a valuable addition to the armamentarium for nasal reconstruction, addressing both external coverage and internal lining needs.