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Versatility of nasolabial flaps in oral cavity reconstructions

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Versatility of nasolabial flaps in oral cavity reconstructions

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dc.contributor.author Alonso Rodríguez, Estefanía es
dc.contributor.author Cebrián Carretero, José Luis es
dc.contributor.author Morán Soto, M.J. es
dc.contributor.author Burgueño García, Miguel es
dc.date.accessioned 2015-01-08T12:34:08Z
dc.date.available 2015-01-08T12:34:08Z
dc.date.issued 2014 es
dc.identifier.citation Alonso Rodríguez, Estefanía ; Cebrián Carretero, José Luis ; Morán Soto, M.J. ; Burgueño García, Miguel. Versatility of nasolabial flaps in oral cavity reconstructions. En: Medicina oral, patología oral y cirugía bucal. Ed inglesa, 2014, Vol. 19, No. 5: 525-530 es
dc.identifier.uri http://hdl.handle.net/10550/41150
dc.description.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. en_US
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Versatility of nasolabial flaps in oral cavity reconstructions es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.type.hasVersion VoR es_ES
dc.identifier.url http://www.medicinaoral.com/pubmed/medoralv19_i5_p525.pdf es

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