Outcome of Nasolabial Flap in the Reconstruction of Head and Neck Defects

Kallappa, Shashidhar; Shah, Nizin

doi:10.1007/s13193-019-00948-z

Cited by 11 publications

(10 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The statistical heterogeneity was high at I 2 = 70%. Meta-analysis of 1331 patients from 28 evaluable studies 8,9,20,23,28,30,33-36,38-40,42,47,48,50,53-55,57,58,61,64,74,85 showed a pooled risk of OCF of 8.55% (95% CI, 5.71%-11.4%, I 2 = 71.8%) among patients undergoing free flap reconstruction (Figure 3A), compared to 8.02% (95% CI, 5.27%-10.8%, I 2 = 72.7%) among 1449 patients undergoing regional flap reconstruction from 34 evaluable studies 10,13,14,16,19,21,24-26,32,41,44,45,51,56,59,60,62,63,65-67,69,71,73,75,76,78,80,82-84 (Figure 3B). Pooled risk of fistula was 6.74% (95% CI, 4.50%-8.97%, I 2 = 38.6) among 1133 patients undergoing segm...…”

Section: Resultsmentioning

confidence: 94%

“…Pooled risk of fistula was 6.74% (95% CI, 4.50%-8.97%, I 2 = 38.6) among 1133 patients undergoing segmental mandibulectomy in 21 studies, 13,16,20,22,23,28,33,35,39,40,42,47,48,50,51,53,54,57,69,75,77 compared to 5.48% (95% CI, 2.41%-8.45%, I 2 = 54.6%) among 556 patients without segmental mandibulectomy in 24 studies. 10,12,30,31,34,38,41,[43][44][45]52,[54][55][56]59,65,67,68,71,73,74,78,80,82 A total of 591 patients from 12 studies 9,17,18,20,23,…”

Section: Meta-analysismentioning

confidence: 99%

See 1 more Smart Citation

Orocutaneous Fistula After Oral Cavity Resection and Reconstruction: Systematic Review and Meta-Analysis

Tassone

Galloway

Dooley

et al. 2021

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Objective: Orocutaneous fistula (OCF) after reconstruction for oral cavity resection can lead to prolonged hospitalization and adjuvant treatment delay. Few studies have examined factors leading to OCF after oral cavity resection. Primary objective: evaluate overall incidence and factors associated with OCF after oral cavity reconstruction. Data Sources: Scopus 1960—database was searched for terms: “orocutaneous fistula,” “oro cutaneous fistula,” “oral cutaneous fistula,” “orocervical fistula,” “oral cavity salivary fistula.” Review Methods: English language studies with >5 patients undergoing reconstruction after oral cavity cancer resection were included. About 1057 records initially screened; 214 full texts assessed; 78 full-texts included. PRISMA guidelines were followed, and MINORS criteria used to assess risk of bias. Data were pooled using random-effects model. Primary outcome was OCF incidence. Meta-analysis to determine the effect of preoperative radiation on OCF conducted on 12 eligible studies. Pre-collection hypothesis was that prior radiation therapy is associated with increased OCF incidence. Post-collection analyses: free versus pedicled flaps; mandible-sparing versus segmental mandibulectomy. Results: Seventy-eight studies were included in meta-analysis of overall OCF incidence. Pooled effect size showed overall incidence of OCF to be 7.71% (95% CI, 6.28%-9.13%) among 5400 patients. Meta-analysis of preoperative radiation therapy on OCF showed a pooled odds ratio of 1.68 (95% CI, 0.93-3.06). OCF incidence was similar between patients undergoing free versus pedicled reconstruction, or segmental mandibulectomy versus mandible-sparing resection. Conclusion: Orocutaneous fistula after oral cavity resection has significant incidence and clinical impact. Risk of OCF persists despite advances in reconstructive options; there is a trend toward higher risk after prior radiation.

show abstract

Section: Resultsmentioning

confidence: 94%

Section: Meta-analysismentioning

confidence: 99%

Orocutaneous Fistula After Oral Cavity Resection and Reconstruction: Systematic Review and Meta-Analysis

Tassone

Galloway

Dooley

et al. 2021

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

show abstract

“…It has been described as a versatile local flap with a robust blood supply. 6 This flap is highly vascular as it is based on the facial artery and the rich subdermal plexus supplying the skin flap allowing it to withstand adjuvant radiotherapy without undergoing necrosis. 7 We have used nasolabial flap primarily for reconstruction of palatal defects in elderly reverse smokers who were not good candidates for microvascular procedures.…”

Section: Discussionmentioning

confidence: 99%

Utility of local flaps in the reconstruction of oncologic resection defects of the oral cavity

Munnangi

Dravid

Gatla

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: Objectives of the study were: to report on the utility of local flaps for oral cavity reconstruction in patients undergoing radical surgery for oral cavity cancers, to enumerate different local flaps used for oral cavity reconstruction, and to assess survival and sequelae associated with various flaps.Methods: The study is a retrospective analysis of data on patients with oral cancer treated with resection and local flap reconstruction between January 2018 to February 2021. The study includes patients treated at a tertiary care cancer hospital in South India. Patients of oral cancer who underwent resection followed by local flap reconstruction between January 2018 to February 2021 were included. Data was analysed for the extent of resection and type of flap used. Details of flap outcomes in the form of major and minor flap loss, functional outcomes and sequelae if any, were documented. Results: 46 patients, 15 women and 31 men, were included in our series. The median age was 51.5 years with an interquartile range (IQR) of 20.5. Tongue was the most common subsite (n=26; 56.5%) followed by buccal mucosa (n=7; 15.2%). Of the 46 flaps done, the most commonly employed flap was the facial artery myo-mucosal flap (FAMM flap) (n=27;58.6%) followed by the nasolabial flap (n=7;15.2%). There was no case of complete flap loss. Grade II trismus (n=5) was the main sequela observed in this study.Conclusions: Local flaps are a reliable option in oral cavity reconstruction post oncologic ablation.

show abstract

“…In this study, there was one case of blackening and necrosis at the distal end of the ap. Local ap necrosis and poor blood supply at the tip of the skin defect, and tension in the suture area, resulted in unobstructed distal return of the ap and local necrosis of the ap [12] . Suturing approaches can be employed to minimize the risk of these complications [13] .…”

Section: Discussionmentioning

confidence: 99%

Repair method for multiple adjacent small skin defects

Xiong

Lei

et al. 2022

Preprint

View full text Add to dashboard Cite

Local skin flaps can be used to repair isolated defects in the skin. Numerous flap repair methods have been described, A single defect is very easy to repair, but it is not easy to repair when there are dense local defects. Guidance directing the repair of multiple adjacent skin defects is undescribed. Therefore, we propose the repair method. The adjacent skin flap is transferred and sutured on the basis of retaining all of the skin, and finally several J and W-shaped incisions can be formed. Concurrently, the complex multiple defects are stratified into simple single defect, double defect and triple defect categories. Hence this approach is termed the "JW" repair program. In this study, There were 13 patients in this group across 15 geographical locations. 4 patients were male and 9 female. Patient age ranged between 17 and 44 years old. The defect area after excision ranged from 0.3cm×0.3cm to 2.3cm×2.3cm. Defects were repaired using the "JW" repair program. 13 patients healed well, while one case suffered a small degree of skin necrosis at the tip of the flap, which was repaired. All patients achieved satisfactory appearance upon healing with no dog ear formation and no appearance deformation. The repair method therefore simplifies the complex repair of multiple adjacent skin defects and is a useful and easy-to-master technique. It can maximize the preservation of normal skin, reduce local tension, and thus reduce scarring.

show abstract

Outcome of Nasolabial Flap in the Reconstruction of Head and Neck Defects

Cited by 11 publications

References 6 publications

Orocutaneous Fistula After Oral Cavity Resection and Reconstruction: Systematic Review and Meta-Analysis

Orocutaneous Fistula After Oral Cavity Resection and Reconstruction: Systematic Review and Meta-Analysis

Utility of local flaps in the reconstruction of oncologic resection defects of the oral cavity

Repair method for multiple adjacent small skin defects

Contact Info

Product

Resources

About