Versatility of nasolabial flaps in oral cavity reconstructions
Identifieur interne : 001543 ( Ncbi/Checkpoint ); précédent : 001542Versatility of nasolabial flaps in oral cavity reconstructions
Auteurs : Estefanía Alonso-Rodríguez [Espagne] ; José L. Cebrián-Carretero [Espagne] ; María J. Morán-Soto [Espagne] ; Miguel Burgue O-García [Espagne]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2014.
Abstract
Objectives: Describe the techniques involved and the results obtained witn nasolabial flaps in small and medium-sized defects of the oral cavity. The procedure is an easy resconstructive option with a high success rate and with very good aesthetic and functional outcomes. Study Design: A retrospective analysis of 16 nasolabial flap reconstructions in 15 oncological patients with oral cavity defects undergoing single-stage surgical interventions. We evaluate the tumor type, its location, size, the resective and reconstructive techniques involved, as well as any complications. Results: Out of 15 patients, 9 were male and 6 female, with ages ranging from 60-85 years. The primary tumor was located in the mandibular or maxillary gingiva in 7 patients, the lateral margin of the tongue in 5, the floor of the mouth in 3 and the mandibular symphysis in a single patient. The tumors were of a small to medium size. All patients underwent intraoral resections. In most cases, a cervical dissection was performed. All flaps were completed as single-stage surgical interventions, with 14 unilateral and 2 bilateral procedures. Five patients had received radiotherapy treatment for previous tumors. During the follow up period, which ranged from 4 months to 8 years, only one patient required their flap to be thinned, there were two incidents of surgical wound dehiscence, two hematomas and one orocutaneous fistula, none of which affected the survival of the flap. Conclusions: The nasolabial flap proves highly versatile in oral cavity reconstructions, coupled with a minimal morbidity of the donor region and good aesthetic and functional results. Its high vascularity allows for cervical dissections to be carried out or even for radiotherapy to be administered prior to it. It is straightforward, safe, and carrying it out as a single-stage intervention makes it the ideal surgical option for small to medium intraoral defects in edentulous patients with other comorbidities.
Url:
DOI: 10.4317/medoral.19376
PubMed: NONE
PubMed Central: 4192579
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Versatility of nasolabial flaps in oral cavity reconstructions</title><author><name sortKey="Alonso Rodriguez, Estefania" sort="Alonso Rodriguez, Estefania" uniqKey="Alonso Rodriguez E" first="Estefanía" last="Alonso-Rodríguez">Estefanía Alonso-Rodríguez</name><affiliation wicri:level="3"><nlm:aff id="A1">Oral and Maxillofacial Surgeon, Hospital Universitario La Paz, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Oral and Maxillofacial Surgeon, Hospital Universitario La Paz, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Cebrian Carretero, Jose L" sort="Cebrian Carretero, Jose L" uniqKey="Cebrian Carretero J" first="José L." last="Cebrián-Carretero">José L. 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Morán-Soto</name><affiliation wicri:level="3"><nlm:aff id="A1">Oral and Maxillofacial Surgeon, Hospital Universitario La Paz, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Oral and Maxillofacial Surgeon, Hospital Universitario La Paz, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Burgue O Garcia, Miguel" sort="Burgue O Garcia, Miguel" uniqKey="Burgue O Garcia M" first="Miguel" last="Burgue O-García">Miguel Burgue O-García</name><affiliation wicri:level="3"><nlm:aff id="A2">Oral and Maxillofacial Surgeon, Head of Service. Hospital Universitario La Paz, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Oral and Maxillofacial Surgeon, Head of Service. 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Cebrián-Carretero</name><affiliation wicri:level="3"><nlm:aff id="A1">Oral and Maxillofacial Surgeon, Hospital Universitario La Paz, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Oral and Maxillofacial Surgeon, Hospital Universitario La Paz, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Moran Soto, Maria J" sort="Moran Soto, Maria J" uniqKey="Moran Soto M" first="María J." last="Morán-Soto">María J. Morán-Soto</name><affiliation wicri:level="3"><nlm:aff id="A1">Oral and Maxillofacial Surgeon, Hospital Universitario La Paz, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Oral and Maxillofacial Surgeon, Hospital Universitario La Paz, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Burgue O Garcia, Miguel" sort="Burgue O Garcia, Miguel" uniqKey="Burgue O Garcia M" first="Miguel" last="Burgue O-García">Miguel Burgue O-García</name><affiliation wicri:level="3"><nlm:aff id="A2">Oral and Maxillofacial Surgeon, Head of Service. Hospital Universitario La Paz, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Oral and Maxillofacial Surgeon, Head of Service. Hospital Universitario La Paz, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Objectives: Describe the techniques involved and the results obtained witn nasolabial flaps in small and medium-sized defects of the oral cavity. The procedure is an easy resconstructive option with a high success rate and with very good aesthetic and functional outcomes.
Study Design: A retrospective analysis of 16 nasolabial flap reconstructions in 15 oncological patients with oral cavity defects undergoing single-stage surgical interventions. We evaluate the tumor type, its location, size, the resective and reconstructive techniques involved, as well as any complications.
Results: Out of 15 patients, 9 were male and 6 female, with ages ranging from 60-85 years. The primary tumor was located in the mandibular or maxillary gingiva in 7 patients, the lateral margin of the tongue in 5, the floor of the mouth in 3 and the mandibular symphysis in a single patient. The tumors were of a small to medium size. All patients underwent intraoral resections. In most cases, a cervical dissection was performed. All flaps were completed as single-stage surgical interventions, with 14 unilateral and 2 bilateral procedures. Five patients had received radiotherapy treatment for previous tumors. During the follow up period, which ranged from 4 months to 8 years, only one patient required their flap to be thinned, there were two incidents of surgical wound dehiscence, two hematomas and one orocutaneous fistula, none of which affected the survival of the flap.
Conclusions: The nasolabial flap proves highly versatile in oral cavity reconstructions, coupled with a minimal morbidity of the donor region and good aesthetic and functional results. Its high vascularity allows for cervical dissections to be carried out or even for radiotherapy to be administered prior to it. It is straightforward, safe, and carrying it out as a single-stage intervention makes it the ideal surgical option for small to medium intraoral defects in edentulous patients with other comorbidities.
</p><p><bold> Key words:</bold>Nasolabial flap, oral cavity reconstruction, oral cavity defects.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Campus, G" uniqKey="Campus G">G Campus</name></author><author><name sortKey="Standoli, N" uniqKey="Standoli N">N Standoli</name></author><author><name sortKey="Alfano, C" uniqKey="Alfano C">C Alfano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hagan, We" uniqKey="Hagan W">WE Hagan</name></author><author><name sortKey="Walker, Lb" uniqKey="Walker L">LB Walker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="El Marakby, Hh" uniqKey="El Marakby H">HH El-Marakby</name></author><author><name sortKey="Fouad, Fa" uniqKey="Fouad F">FA Fouad</name></author><author><name sortKey="Ali, Ah" uniqKey="Ali A">AH Ali</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, S" uniqKey="Singh S">S Singh</name></author><author><name sortKey="Singh, Rk" uniqKey="Singh R">RK Singh</name></author><author><name sortKey="Pandey, M" uniqKey="Pandey M">M Pandey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ioannides, C" uniqKey="Ioannides C">C Ioannides</name></author><author><name sortKey="Fossion, E" uniqKey="Fossion E">E Fossion</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Varghese, Bt" uniqKey="Varghese B">BT Varghese</name></author><author><name sortKey="Sebastian, P" uniqKey="Sebastian P">P Sebastian</name></author><author><name sortKey="Cherian, T" uniqKey="Cherian T">T Cherian</name></author><author><name sortKey="Mohan, Pm" uniqKey="Mohan P">PM Mohan</name></author><author><name sortKey="Ahmed, I" uniqKey="Ahmed I">I Ahmed</name></author><author><name sortKey="Koshy, Cm" uniqKey="Koshy C">CM Koshy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guero, S" 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name="Espagne"><region name="Communauté de Madrid"><name sortKey="Alonso Rodriguez, Estefania" sort="Alonso Rodriguez, Estefania" uniqKey="Alonso Rodriguez E" first="Estefanía" last="Alonso-Rodríguez">Estefanía Alonso-Rodríguez</name></region><name sortKey="Burgue O Garcia, Miguel" sort="Burgue O Garcia, Miguel" uniqKey="Burgue O Garcia M" first="Miguel" last="Burgue O-García">Miguel Burgue O-García</name><name sortKey="Cebrian Carretero, Jose L" sort="Cebrian Carretero, Jose L" uniqKey="Cebrian Carretero J" first="José L." last="Cebrián-Carretero">José L. Cebrián-Carretero</name><name sortKey="Moran Soto, Maria J" sort="Moran Soto, Maria J" uniqKey="Moran Soto M" first="María J." last="Morán-Soto">María J. Morán-Soto</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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