The nasolabial flap as a single-stage procedure

Reconstruction of nasal defects with local flaps

“…2 nasal defects required dorsal support-one patient reconstructive plate was used and in other patient cantilever ulna bone graft was used. 9 Patients required some form of inner lining. We used folded nasolabial flap in 9 patients, and pre-laminated forehead flap in 2 patients.…”

“…The main indication for this flap is for defects on the lower third of the nose less than 2.5 cm. 9 The flap is used for the defects of the ala, lateral sidewall, tip and sometimes vestibular/columellar defects.…”

Tracing the Blood Flow Direction of the Angular Artery and Vein by Color Doppler Ultrasonography

“…Although the vasculature of such flaps is technically random, Hynes B, et al [6], used angiographic examinations on cadavers to demonstrate that the small vessels of the subdermal plexus are generally oriented along its long axis, thus giving the flap a degree of axiality. He believed that this vascular orientation was the reason why such flaps are reliable in a one-staged repair [6,7]. However, the subcutaneous arterial network, its anastomotic connections and its axial orientation that mirrors the deeper lying angular artery are responsible for the reliability of its blood supply.…”

Post amputation reconstructive rhinoplasty with naso labial, philtral flaps and autogenous keratin: Case report

“…13 Facial flaps are in use for nasal reconstruction; the nasolabial flap being frequently used to replace alar, tip, columella, mucosa, or combinations of subunits. 6,1,14 The flap design, size and dimensions are limited by the redundancy of available tissues and the possibility of closing the donor site primarily along the nasolabial fold without deformity, especially to the lower eyelid and commissure. It may be based superiorly or inferiorly.…”