European Journal of Plastic Surgery

, Volume 23, Issue 4, pp 200–203 | Cite as

Reconstruction of the anterior floor of the mouth with the inferiorly based nasolabial flap

  • M.P. van Wijk
  • A. Damen
  • J. M. Nauta
  • D. H. E. Lichtendahl
  • B. K. Dhar
Original

Abstract 

The results of reconstruction of the anterior floor of the mouth, using 105 nasolabial flaps in 79 patients were reviewed in a retrospective study. Of those flaps, 82% healed uneventfully; flap survival was 95%. Considerable flap loss occurred in 5%. Primary dehiscence was observed in 5% of all flaps. This healed spontaneously with conservative therapy. In two cases (2%), an infection of the floor of the mouth required a reoperation: in one patient, a viable nasolabial flap had to be removed, and in the other case, the flap was maintained. Direct primary closure of an intraoral defect under tension should always be avoided. A lengthy and complex reconstruction is not always needed; the nasolabial flap is a safe and useful method for intraoral reconstruction. In case of small defects, it offers a fast and simple alternative to other pedicled flaps and free flaps.

Key words Nasolabial flap Intraoral reconstruction Floor of mouth Oral cancer 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • M.P. van Wijk
    • 1
  • A. Damen
    • 3
  • J. M. Nauta
    • 2
  • D. H. E. Lichtendahl
    • 1
  • B. K. Dhar
    • 4
  1. 1.Department of Plastic Surgery, University Hospital Groningen, Postbus 30.001, 9799 RB Groningen, The NetherlandsNL
  2. 2.Department of Oral and Maxillofacial Surgery, University Hospital Groningen, The NetherlandsNL
  3. 3.Department of Plastic, Reconstructive and Handsurgery, University Hospital Maastricht, The NetherlandsNL
  4. 4.Department of Plastic Surgery, Martini Ziekenhuis Groningen, The NetherlandsNL

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