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RESEARCH ARTICLE
Year : 2015  |  Volume : 5  |  Issue : 2  |  Page : 66-71

Versatality of Nasolabial Flap in Orofacial Reconstruction


1 Professor and Head, Department of Oral and Maxillofacial Surgery, A J Institute of Dental Sciences , Mangalore , Karnataka, India
2 Post Graduate Student, Department of Oral and Maxillofacial Surgery, A J Institute of Dental Sciences , Mangalore , Karnataka, India
3 Post Graduate Student, Department of Oral and Maxillofacial Pathology, A J Institute of Dental Sciences , Mangalore , Karnataka, India

Correspondence Address:
Jayanth
Post Graduate Student, Department of Oral and Maxillofacial Surgery, A J Institute of Dental Sciences , Mangalore , Karnataka
India
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Source of Support: None, Conflict of Interest: None


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Aim: The nasolabial flap has been widely employed as a versatile reconstructive option for small to moderate sized defects of oral & perioral regions. The nasolabial flaps are very useful, simple, easy to harvest local flap that can cover a variety of defects of the face and has robust vascularity that can be readily elevated without delay. This study was undertaken to establish the application of nasolabial flaps for surgical management of small to moderate sized oro-facial defect. Materials and Methods: A total of 10 patients were selected based on the size of surgical defect. Nasolabial flap was used to reconstruct defects of small to moderate size in the oro-facial region and post-operative follow up was done. Results: All of the patients underwent inferiorly based Transposition Island flap for reconstruction of different oro-facial defects. Few complications like bulky size of the flap, slight donor site distortion (scar formation) and intra-oral hair growth were seen in six patients. Two incidences of infection in the transferred flap were seen. Conclusion: It is a safe minor procedure done under general anesthesia with good reconstructive results over small or moderately sized maxillofacial defects. Proper attention to flap design, operative technique and post - operative management are useful in reducing the incidence of complications.


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