Abstract
Nasolabial flap is very versatile flap for the lesion of basal cell carcinoma of nose. It is preferred choice for the closure of surgical defect of nose after removing the lesion of basal cell carcinoma. This flap has very good vascularity and scar is almost invisible. The objective of this study to evaluate the suitability of nasolabial flap for the basal cell carcinoma, the survival of the flap, cosmetic appearance of the patient after the surgery and patient satisfaction. This is the case study of ten cases of basal cell carcinoma of the nose. The skin lesion was at the nasal tip, dorsum and the side of the dorsum. All the surgeries were performed by the same and first author of the article at the department of Otorhinolaryngology Sir T General Hospital Bhavnagar Gujarat. The patient age ranged from 5th to 6th decades of life. All the patients were from the coastal region of Saurashtra Gujarat. All the surgery was performed as single stage surgery. The defatting of the flap was done in all cases to match with the texture of skin of nose. The biopsy was performed in all the cases before the surgery to confirm our clinical diagnosis. The underlying cartilage was removed in all the cases to prevent the recurrence and was sent separately for the frozen and histopathology examination. The nasolabial flap survived in all the ten cases. The color and the texture of the flap matched perfectly with the adjoining skin color of nose. The scar mark of the cheek side malar flap was almost invisible. There was no trap-door deformity observed and there was good aesthetic outcome. The nasolabial flap is very reliable and versatile flap for the basal cell carcinoma sugary of nose. It can reach to almost to the all area of nose including tip of the nose. Its single stage surgery with very good aesthetic results.
Similar content being viewed by others
References
Irfanullah, Khan A, Khan N, Shah SA, Tahmeedullah (2012) Indications and outcome of nasolabial flap: experience at a plastic surgical facility. Ann Pak Inst Med Sci 8(3):168–171
Singh S, Singh RK, Pandey M (2012) Nasolabial flap reconstruction in oral cancer. World J Surg Oncol 10:227. https://doi.org/10.1186/1477-7819-10-227
Weathers WM, Wolfswinkel EM, Nguyen H, Thornton JF (2013) Expanded uses for the nasolabial flap. Semin Plast Surg 27:104–109
Ikeda C, Katakura A, Yamamoto N, Kamiyama I, Shibahara T, Onoda et al (2007) Nasolabial flap reconstruction of the floor of mouth. Bull Tokyo Dent Coll 48:187–192
El-Marakby HH (2005) The versatile naso-labial flaps in facial reconstruction. J Egypt Nat Can Inst 17:245–250
Moore FJ, Strome SA (2003) Vascularized radial forearm free tissue transfer for lining in nasal reconstruction. Laryngoscope 113:2078–2085
Rohrich RJ, Conrad MH (2001) The superiorly based nasolabialflap for simultaneous alar and cheek reconstruction. Plast Reconstr Surg 108(6):1727–1730
Javaid M, Ahmad A, Khan Q, Wahid F, Afridi HR (2011) Outcome of nasolabial flap in reconstruction of the nasal alar defect. J Med Sci 19(4):163–166
Massoud KS (2009) Reconstruction of full-thickness alar defect by the turnover nasolabial flap: improving the outcome by primary flap-thinning and unilateral alar base suturing. Egypt J Plast Reconstr Surg 33(1):15–19
Sohn WI, Choi JY, Seo BF, Jung SN (2012) Reconstruction of nasal ala with nasolabial perforator flap after cancer removal. Head Neck Oncol 4(4):83–87
Spear SL, Kroll SS, Romm S (1987) A new twist to the nasolabial flap for reconstruction of lateral alar defects. Plast Reconstr Surg 79:915–921
Kroll SS (1991) Nasal alar reconstruction using the nasola-bial turnover flap. Laryngoscope 101:1127–1133
Aksam E, Aksam B, Karaaslan O, Durgus M (2018) Nasolabial flaps for nasal reconstructions: pros and cons. Turk J Plast Surg 26:151–155
Funding
None.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Sinha, V., Yadav, S.K., Jha, S.G. et al. Nasolabial Flap: Versatile Flap for Basal Cell Carcinoma Nose. Indian J Otolaryngol Head Neck Surg 74 (Suppl 2), 2381–2385 (2022). https://doi.org/10.1007/s12070-020-02191-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-020-02191-3