Superior nasolabial flap in reconstruction of the tongue: case report

Authors

  • Manish Munjal Department of Ear Nose Throat - Head and Neck Surgery (ENT-HNS), Dayanand Medical College, Ludhiana, Punjab, India
  • Ramneesh Garg Department of Plastic Surgery, Dayanand Medical College, Ludhiana, Punjab, India
  • Porshia Rishi Dayanand Medical College, Ludhiana, Punjab, India
  • Harjinder Sidhu Department of Ear Nose Throat - Head and Neck Surgery (ENT-HNS), Dayanand Medical College, Ludhiana, Punjab, India
  • Shubham Munjal Dayanand Medical College, Ludhiana, Punjab, India
  • Shivam Talwar Dayanand Medical College, Ludhiana, Punjab, India
  • Salony Sharma Dayanand Medical College, Ludhiana, Punjab, India
  • Hardeep Kaur Dayanand Medical College, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20222169

Keywords:

Tongue, Nasolabial flap, Carcinoma, Reconstruction, Hemiglossectomy

Abstract

Hemiglossectomy with functional rehabilitation using a rotational superior nasolabial flap as a single stage procedure and its outcome has been described. Nasolabial sulcus and nasofacial was the donor site for the nasolabial flap. This hairless area except for the lower cheek in males, is an important consideration in oral cavity reconstruction. The flap constituted by skin, subcutaneous tissue and the underlying musculature has a subdermal plexus is supplied by feeder vessels from the branches of the facial artery and provides the blood supply to the nasolabial muscle and skin. Usually, the choice of pedicle is based on the site of the defect and any need for rotation or advancement of tissue to the site of the defect. In our patient the superior nasolabial flap based on alar and lateral nasal artery was utilized.

 

Metrics

Metrics Loading ...

Author Biography

Manish Munjal, Department of Ear Nose Throat - Head and Neck Surgery (ENT-HNS), Dayanand Medical College, Ludhiana, Punjab, India

Prof hod ORLHNS

References

Varghese BT, Sebastian P, Koshy CM, Thomas S, Cherian T, Ahmed I, Mohan PM. Nasolabial flaps in oral reconstruction: an analysis of 224 cases. Br J Plastic Surg. 2001;54(6):499-503.

Tarsitano A, Vietti MV, Cipriani R, Marchetti C. Functional results of microvascular reconstruction after hemiglossectomy: Free anterolateral thigh flap versus free forearm flap. Acta Otorhinolaryngol Ital. 2013;33:374-9.

Joshi A, Rajendraprasad JS, Shetty K. Reconstruction of intraoral defects using facial artery musculomucosal falp. Br J Plast Surg. 2005;58(8):1061-6.

Varghese BT, Sebastian P, Cherian T, Mohan PM, Ahmed I, Koshy CM, et al. Nasolabial flaps in oral reconstruction: an analysis of 224 cases. Br J Plast Surg. 2001;54(6):499-503.

Hsiao HT, Leu YS, Chang SH, Lee JT. Swallowing function in patients who underwent hemiglossectomy: Comparison of primary closure and free radial forearm flap reconstruction with videofluoroscopy. Ann Plast Surg. 2003;50:450-5.

Oh J, Lee TH, Lee JH, Tae K, Park SO, Ahn HC. Exclusive tongue tip reconstruction of hemiglossectomy defects using the underrated lateral arm free flap with bilobed design. Arch Craniofac Surg. 2019;20(1):37-43.

Joo YH, Hwang SH, Park JO, Cho KJ, Kim MS. Functional outcome after partial glossectomy with reHagan WE. Nasolabial musculocutaneous flap in reconstruction of oral defects. Laryngoscope. 1986;96(8):840-5.

Hagan WE, Walker LB. The nasolabial musculocutaneous flap: clinical and anatomical correlations. Laryngoscope. 1988;98(3):341-6.

Hynes B, Boyd JB. The nasolabial flap. Axial or random? Arch Otolaryngol Head Neck Surg. 1988;114(12):1389-91.

Downloads

Published

2022-08-25

How to Cite

Munjal, M., Garg, R., Rishi, P., Sidhu, H., Munjal, S., Talwar, S., Sharma, S., & Kaur, H. (2022). Superior nasolabial flap in reconstruction of the tongue: case report. International Journal of Otorhinolaryngology and Head and Neck Surgery, 8(9), 752–755. https://doi.org/10.18203/issn.2454-5929.ijohns20222169

Issue

Section

Case Reports