Kallappa Shashidhar, Shah Nizin
Karnataka Institute of Medical Sciences, Hubli, India.
Indian J Surg Oncol. 2019 Dec;10(4):577-581. doi: 10.1007/s13193-019-00948-z. Epub 2019 Jul 17.
Nasolabial flaps have been recognized as versatile flaps for a variety of defects in the face, nose, lip and the oral cavity and intraoral defects created after the excision of benign and malignant tumours. Nasolabial flaps have been utilized for covering small-to-medium size defects and usually require a second-stage procedure to divide the flap. To study the outcome of nasolabial flap in the reconstruction of head and neck defects. A prospective analysis of 25 cases was done. Of this, 24 cases were oral cancers, and one case was post-traumatic left ala loss. Oral cancers from stage I to IVa were treated with primary wide local excision, nasolabial flap reconstruction and neck dissection. Of this, 3 cases underwent bilateral nasolabial flap reconstruction. Flap release was done as a second-stage procedure after 3 weeks. Good cosmetic and functional results were obtained in almost all cases. Flap tip necrosis was noted in 2 cases, ectropion in 1 case, orocutaneous fistula in 1 case and disease recurrence in 2 cases. Pedicled nasolabial flap is a reliable flap for the reconstruction of small- and medium-sized defects in the oral cavity after excision of primary tumours and results in good overall cosmetic and functional outcome.
鼻唇瓣已被公认为是用于修复面部、鼻子、嘴唇和口腔各种缺损以及良性和恶性肿瘤切除后造成的口腔内缺损的多功能皮瓣。鼻唇瓣已被用于覆盖中小尺寸的缺损，通常需要二期手术来断蒂。为研究鼻唇瓣在头颈部缺损修复中的效果。对25例患者进行了前瞻性分析。其中，24例为口腔癌，1例为创伤后左侧鼻翼缺损。I期至IVa期的口腔癌患者接受了一期广泛局部切除、鼻唇瓣修复和颈部清扫术。其中，3例患者接受了双侧鼻唇瓣修复。3周后作为二期手术进行皮瓣断蒂。几乎所有病例均获得了良好的美容和功能效果。2例出现皮瓣尖端坏死，1例出现外翻，1例出现口皮瘘，2例出现疾病复发。带蒂鼻唇瓣是一种可靠的皮瓣，用于原发性肿瘤切除后口腔中小尺寸缺损的修复，总体美容和功能效果良好。
