The cranially based contralateral nasolabial flap for reconstruction of paranasal and periorbital surgical defects
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2014
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Abstract
The importance of the paranasal and periorbital regions on the aesthetics of the face presents a variety of reconstructive challenges for surgical and traumatic defects of those regions. We used the cranially based nasolabial flap in patients with full-thickness soft-tissue defects of the paranasal and periorbital regions harvested from the contralateral side of the present defect. We present our experience in 25 patients of geriatric population (13 females and 12 males with a mean age of 76) with complex soft-tissue defects in the paranasal and periorbital regions whose defects were reconstructed with contralateral nasolabial skin flaps. Sizes of the defects changed between 2 × 3 cm and 6 × 7 cm. The flap sizes varied from a width of 2 to 5 cm (average 3 cm) and a length of 7 to 11 cm (average 8 cm). Primary closure of the donor sites of the flaps was possible in 24 of the patients in this series. Twenty-one flaps of this series (84%) healed without any necrosis and completely survived. The contralateral nasolabial flap is a very convenient, safe and reliable flap that can be used in medium to large paranasal and periorbital defects. Optimal aesthetic results for a variety of central facial defects could be obtained with this flap, especially when the ipsilateral nasolabial flap cannot be used due to various reasons. © 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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Aged , Aged, 80 and over , Eye , Face , Facial Neoplasms , Female , Humans , Male , Middle Aged , Nose , Reconstructive Surgical Procedures , Skin Neoplasms , Surgical Flaps , Cranially based , Defect closure , Local flaps , Nasolabial flap , Paranasal defects , Periorbital defects , adult , aged , article , basal cell carcinoma , cancer surgery , clinical article , composite graft , debridement , donor site , ectropion , face malformation , female , graft necrosis , human , lower eyelid , male , nasolabial flap , nose septum , paranasal defect , periorbital defect , postoperative period , priority journal , scar , skin flap , soft tissue defect , thickness , venous congestion