Nasolabial Flap Reconstruction in Oral Cavity Cancer Defects

Dr Hemant Lekawale; Dr Anand Zingade

Volume : VI, Issue : II, February - 2016

Nasolabial Flap Reconstruction in Oral Cavity Cancer Defects

Dr Hemant Lekawale, Dr Anand Zingade

Abstract :

Background : Nasolabial is a versatile and techniqually simple flap to harvest that provides pliable skin for reconstruction of medium size intraoral defects Methods : In this study we analysed the utility of this flap for the oral cavity cancer defect reconstruction done in 18 consecutive cases. Results : There were 14 males and 4 females. The mean age of 54.75 years. The oral cavity subsites were as follows: tongue 09 (50%); floor of mouth 03 (16.66%); lower lip 04 (22.22%) and lower alveolus 02 (11.11%). The distal end of the flap was necrosed in 03 (16.66%) patients, and wound infection with gaping in 02 (11.11%) patients. Eight (44.44%) patients had pT1N0 disease; 07(38.88%) patients had pT2N0 disease; 02(11.11%) patients had pT2N1 disease; 01(5.55%) patient had pT3N1 disease. The mean follow up period was 15 months. One patient with floor of mouth cancer developed local recurrence. Conclusion : The nasolabial flap is a versatile, reliable local flap for reconstruction of medium size oral cavity defects with good cosmetic outcomes and negligible donor site morbidity