The Nasolabial Cheek Flap

Hagerty, Richard C.; Smith, W.

doi:10.1097/00006534-195811000-00016

Cited by 9 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study, also, we reported maximal color, nature and texture match with nasolabial flap in nasal reconstruction when achievable. The same results were shown by Hagerty et al, [16] for partial nasal reconstruction. Bakamjian et al, revealed the high suitability of deltopectoral flap for head and neck defects covering due to the similarity of color and texture of skin with hidden donor site [8,17].…”

Section: Aesthetic Considerationssupporting

confidence: 87%

OTAF Score: A Novel Scoring System for Selection of an Ideal Local and Locoregional Flap for Oncoplastic Head and Neck Reconstruction

Wahsh

2018

The Egyptian Journal of Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

Introduction: Modern trends in post malignancy reconstruction target more aesthetic and functional outcome with more patient satisfaction.This study aims to weight the oncological, technical, aesthetic and functional considerations and propose a novel scoring system in selection of an ideal local and locoregional flap for oncoplastic head and neck reconstruction.Patients and Methods: 52 local and locoregional flaps were created in 52 patients those were squeduled for head and neck tumour resection and defects reconstruction. These cases have been classified into six groups according to the flaps used in reconstruction. Oncological, technical, aesthetic and functional considerations were reviewed in each case. The data were collected as a prospective study throughout a 2-year period.Results: By analysis of the pre-requisites, operative findings and outcomes of reconstructions, multipleparameters; oncological, technical, aesthetic and functional were evaluated. All significant positive considerations were grouped and compared in each flap type. According to the weight of these considerations, a proposal of a scoring system (OTAF score) was formulated. Conclusion:This study provides a simplified systematic method of flap selection for post malignancy head and neck reconstruction through a scoring system (OTAF score) using oncological, technical, aesthetic and functional considerations. Individualized selection for each case still has its place however further evaluation and modifications of this scoring system is essential to maximize the results of our reconstructive tools.

show abstract

Section: Aesthetic Considerationssupporting

confidence: 87%

OTAF Score: A Novel Scoring System for Selection of an Ideal Local and Locoregional Flap for Oncoplastic Head and Neck Reconstruction

Wahsh

2018

The Egyptian Journal of Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…Donor site can be placed along nasolabial fold and the flap can be used for outer or inner lining of nasal defects. Hagerty et al (16) showed that nasolabial and cheek flaps are ideal sources for partial nasal reconstruction. PMMF is a reliable and versatile flap for reconstruction of head and neck defects because it can be used for both mucosal and skin lining of defect and low incidence of donor site complications.…”

Section: Discussionmentioning

confidence: 99%

Local and Locoregional Flaps in Head and Neck Defects

Multani¹,

Nagi²,

Bajwa³

2015

jemds

View full text Add to dashboard Cite

BACKGROUND: Local and locoregional flaps are very useful in reconstruction of head and neck defects. Each case should be judged on its merits and selection of flap (local or locoregional) should be done by considering various factors. AIM: To study the etiological factors, type, distribution, management of head and neck defects (post traumatic, post malignancy & congenital) by using local and locoregional flaps and the overall cosmetic effect and function of both donor as well as recipient sites. MATERIAL AND METHODS: 40 patients were studied in a multispecialty hospital admitted in the trauma unit or as OPD patients. After stabilization, especially in trauma patients, patients were fully investigated and treatment protocol was made and reconstruction was done as per protocol. RESULTS: In this study, the mean age of patients was 29.8 years. The main cause of head and neck defects was post traumatic (58%) followed by malignancy (23%), infections (10%) and others (9 %). The mean age for post traumatic defects was 26.42 years. In post malignant defects, Basal cell carcinoma was the major cause of defect (50%) followed by oral malignancy (54%). All the patients with oral carcinoma were tobacco chewers and 50 % were alcoholic. Middle third of face (67%) was most common site for defect followed by scalp (14%), upper third (7%) and lower third face (6%). In the middle third of face, nose (38%) was commonest site of defects followed by cheek (34%) and ears (28%). Local flaps were used in 38% of defects as compared to locoregional flaps (62%). Advancement flaps were mainly done for cheek defects (70%). Rotation and transposition flaps were done mainly for scalp defects. Most common locoregional flap done was median forehead flap (27%) followed by deltopectoral flap. CONCLUSION: Local and locoregional flaps are still very useful in reconstruction of head and neck defects. This is in accordance with Gille's rules of reconstruction i.e." like replaces like". Treatment of the head and neck defects should be individualized. Each case should be judged on its merits and selection of flaps (local or locoregional) should be done by considering various factors like type of defect, site of defect, amount of associated injuries, and the condition of adjacent skin.

show abstract

“…Variants of the French method of cheek advancement flaps are often used to repair nasal defects. The most helpful of these is the superiorly based nasolabial transposition flap 14,15 (Fig. 1B), which uses redundant tissue from the vicinity of the nasolabial sulcus and permits direct closure of the donor site.…”

Section: Principles Of Wound Closurementioning

confidence: 99%

Principles of Nasal Reconstruction

Barton

1982

The Journal of Dermatologic Surgery and Oncology

View full text Add to dashboard Cite

The human nose poses a difficult problem to the management of cutaneous malignancies, especially basal-cell carcinoma. Located in the center of the face, it is frequently involved with skin tumor, yet its prominent location and graceful contours present a formidable reconstructive challenge. Histographic excision of the lesion with immediate plastic surgical reconstruction offers the best prospects for tumor control with the least residual deformity.

show abstract

The Nasolabial Cheek Flap

Cited by 9 publications

References 0 publications

OTAF Score: A Novel Scoring System for Selection of an Ideal Local and Locoregional Flap for Oncoplastic Head and Neck Reconstruction

OTAF Score: A Novel Scoring System for Selection of an Ideal Local and Locoregional Flap for Oncoplastic Head and Neck Reconstruction

Local and Locoregional Flaps in Head and Neck Defects

Principles of Nasal Reconstruction

Contact Info

Product

Resources

About