Interpolated subcutaneous fat pedicle melolabial flap for large nasal lining defects

Griffin, Garrett R.; Chepeha, Douglas B.; Moyer, Jeffrey S.

doi:10.1002/lary.23595

Cited by 14 publications

(6 citation statements)

References 9 publications

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“…The superomedial portion of the flap was used to make the outer nostril lining, and the lower portion was partially defatted and inset at the site of the alar defect [ 17 ]. The Spear flap generally requires flap revision, such as flap thinning and medial shift of the alar base after the flap has stabilized [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Complete reconstruction of the nose requires reconstruction of the inner mucosal lining, external nostril lining, and supporting structures [ 2 ]. The method of reconstruction should be chosen from the numerous options available based on the patient’s needs, the goals of reconstruction, the specific location, and the surgeon’s skill with a particular technique [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap

Lee

Ryu

Choi

et al. 2021

Arch Craniofac Surg

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Background: The reconstruction of large full-thickness alar defects requires complex surgical procedures that are usually performed in two stages, with concomitant disadvantages in terms of patient trauma, surgical risk, and cost. This study presents a functional folded nasolabial island flap (FNIF) that can be used to repair large-sized full-thickness alar defects in a straightforward manner.Methods: This retrospective study included seven patients who received a FNIF for a full-thickness alar defect between January 2007 and December 2020. The FNIF is different from the conventional nasolabial flap in that it is folded and twisted to achieve nostril reconstruction with a satisfactory three-dimensional mucosal lining in a single stage. The cosmetic and functional results of FNIF were evaluated by both patients and physicians.Results: The age ranged from 51 to 82 years (mean, 65.6 years). The causes of the defects were squamous cell carcinoma, basal cell carcinoma, and trigeminal trophic syndrome. The nostril lining did not collapse, there was no hypertrophic scarring, and air movement through the nostrils on the flap side was normal. Overall, FNIF produced excellent aesthetic and functional outcomes, with minimal patient discomfort. There were no postoperative complications.Conclusion: Compared with existing reconstruction methods for large full-thickness alar defects, FNIF can easily achieve aesthetic and functional success in a single-stage procedure. It provides satisfactory results for both the patient and the surgeon.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap

Lee

Ryu

Choi

et al. 2021

Arch Craniofac Surg

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“…Reconstruction of total or near-total nasal lining defects may be resurfaced with large nasolabial flaps. 22 This technique is limited mainly by the width of a nasolabial flap that can be harvested without significant cosmetic distortion. Although unique for each patient, this width has been estimated at a maximum of 3 cm.…”

Section: Nasolabialmentioning

confidence: 99%

Reconstruction of the Intranasal Lining

Zenga

John

2017

Facial plast Surg

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Reconstruction of full-thickness nasal defects has been the subject of surgical inquiry and innovation for over 2,000 years. The replacement of the internal nasal lining is a critical feature of complex nasal reconstruction. Successful reconstruction can prevent cicatricial contraction, external distortion, and internal stenosis. An array of reconstructive possibilities has been described, including cutaneous, mucosal, and fascial options. The challenge to the reconstructive surgeon is to select the repair that maximizes internal stability, while maintaining a patent nasal airway, minimizing morbidity, and meeting patient expectations. This article reviews the options available for the reconstruction of the intranasal lining.

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“…Melolabial flaps have been used as lining flaps to reconstruct large defects of internal lining in salvage patients with full-thickness nasal defects and in patients with oronasal fistulas. 11,25 Principles of defect analysis, defect preparation, and subunit identification remain the same as with the forehead flap.…”

Section: Melolabial Flapmentioning

confidence: 99%

Interpolated Flaps

et al. 2017

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Nasal reconstruction has been articulated in the literature since 700 B.C. when the earliest iteration of the forehead flap was described in the Indian medical treatise, the Sushruta Samhita. Since then it has evolved into the interpolated flap which has served as a powerful tool for facial reconstruction. The interpolated flap is constructed from nonadjacent donor tissue that has an inherent blood supply. It requires a multistaged approach and is best suited for reconstruction of large or deep defects of the nose. There are three types of interpolated flaps used for nasal reconstruction: the forehead, melolabial, and nasofacial interpolation flaps. The nose is the central feature of the human face and its placement is both aesthetic and functional. Any defects owing to accidental or iatrogenic trauma can cause physiologic and psychological injury to patients. This article aims to review the aforementioned flaps and give indications, contraindications, procedure details, and future directions of these flaps.

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Interpolated subcutaneous fat pedicle melolabial flap for large nasal lining defects

Cited by 14 publications

References 9 publications

One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap

One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap

Reconstruction of the Intranasal Lining

Interpolated Flaps

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