SUPERIORLY BASED NASOLABIAL TRANSPOSITION FLAPFUNDAMENTALS
Abstract
The nasolabial transposition flap, when performed with a superiorly placed pedicle, has multiple indications in mid-face surgical reconstruction. Apart from its primary indication in nasal ala reconstruction, the nasolabial transposition flap is an alternative for all the nasal subunits, except for the upper third ones. The nasal tip and full-thickness defects of the nasal ala are not exceptions. Moreover, it can also be employed in infraorbitary surgical defects. It is a extremely safe an easy-to-perform flap, with a low incidence of complications, as long as some basic principles are observed.
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References
Lamberty BG, Healy C. Flaps: Physiology, principles of design, and pitfalls. In: Cohen M, editor. Mastery of Plastic and Reconstructive Surgery. Boston: Little, Brown and Co; 1994. p. 56-70.
Krizek TJ. Grafts and flaps. In: Ruberg RC, Smith DJ, editors. Plastic Surgery: A Core Curriculum. St. Louis: Mosby-Yearbook; 1994. p.31-64.
Fisher J, Gingrass MK. Basic principles of skin flaps. In: Georgaide GS, Riefkohl R, Levin LS, editors. Textbook of Plastic, Maxillofacial, and Reconstructive Surgery. Baltimore: Williams and Wilkins; 1997. p.19-28.
Tschoi M, Hoy EA, Granick MS. Skin flaps. Clin Plast Surg. 2005; 32(2):261-73.
Mathes SJ, Hansen SL. Flap Classification and Applications. In: Mathes SJ, editor. Plastic Surgery. Vol. I: General Principles. 2nd ed. Philadelphia: Saunders; 2005.p. 365-482.
Herbert DC, Harrison RG. “Nasolabial subcutaneous pedicle flaps”. Br J Plast Surg. 1975; 28(2):85-9.
Rocha FP, Fagundes DJ, Almeida MW, Costa TV, Pires JA. Retalho nasolabial versátil em cirurgia de reconstrução de nariz. Rev AMRIGS. 2010; 54 (2):190-3.
Dieffenbach JF. Die Nasenbehandlung in Operativ Chirurgie. Leipzig: F.A. Brockhaus; 1845.
El-Marakby HH. The versatile naso-labial flaps in facial reconstruction. J Egypt Natl Canc Inst. 2005; 17(4):245-50.
Milton SH. Pedicled skin-flaps: the fallacy of the length: width ratio. Br J Surg. 1970; 57(7):502-8.
Herbert DC. A subcutaneous pedicled cheek flap for reconstruction of alar defects. Br J Plast Surg. 1978; 31:79-92.
Daniel RK, Kerrigan CL. Skin flaps: an anatomical and hemodynamic approach. Clin Plast Surg. 1979; 6(2):181-200.
Nakajima H, Fujino T, Adachi S. A new concept of vascular supply to the skin and classification of skin flaps according to their vascularization. Ann Plast Surg. 1986; 16(1):1-19.
Ponte P, Goulão J, de Almeida JR. Contralateral nasolabial flap for a large nasal defect. Dermatol Surg. 2009; 35(4):675-8.
Taylor GI, Corlett RJ, Dhar SC, Ashton MW. The anatomical (angiosome) and clinical territories of cutaneous perforating arteries: development of the concept and designing safe flaps. Plast Reconstr Surg. 2011; 127(4):1447-59.
Salasche SJ, Bernstein G, Senkarik M. Surgical Anatomy of the skin. Norwalk: Appleton & Lange; 1988.
Larabee WF, Makielski KH. Surgical Anatomy of the face. New York: Raven Press; 1993.
Meirson DH .Nasal anatomy and reconstruction. Dermatol Clin. 1998; 16(1):91-108.
El-Marakby HH.The versatile naso-labial flaps in facial reconstruction. J Egypt Natl Canc Inst. 2005; 17(4):245-50.
Menick FJ. Defects of the nose, lip, and cheek: rebuilding the composite defect. Plast Reconstr Surg. 2007; 120:887-98.
Zitelli JA. The nasolabial flap as a single-stage procedure. Arch Dermatol 1990; 126:1445-8.
Millard DR Jr. Principlization of Plastic Surgery. 1st ed. Boston: Little Brown & Co; 1986.
Ricardo Coelho, Vitor Neto. Reconstrução de defeitos da face lateral do nariz com retalhos nasogenianos.
Rev Soc Port Dermatol Venereol 2009; 67(1):103-6.
Beustes-Stefanelli M, O'Toole G, Schertenleib P. The Midline-Based Nasolabial Transposition Flap: A New Single-Stage Technique for Nasal Tip Reconstruction. Ann Plast Surg. 2013 (in press).
Cervelli V, Bottini DJ, Gentile P. Reconstruction of the nasal tip. J Craniofac Surg. 2007; 18(6):1380-4.
Weber SM, Wang TD. Options for internal lining in nasal reconstruction. Facial Plast Surg Clin North Am. 2011; 19(1):163-73.
Taghinia AH, Pribaz JJ. Complex nasal reconstruction. Plast Reconstr Surg. 2008; 121(2):15-27.
Ohtsuka H. Nasolabial flaps to the cheek. In: Straunch B, Vanconez LO, Hall-Findlay EJ, editors. Grabb's Encyclopedia of flaps. 2nd ed. Philadelphia: Lippincott-Raven; 1998. p. 375-7.
Tei TM, Larsen J. Use of the subcutaneously based nasolabial flap in lower eye lid reconstruction. Br J Plast Surg. 2003, 56: 420.
Koranda FC, Webster RC. Trapdoor effect in nasolabial flaps: causes and corrections. Arch Otolaryngol 1985; 111:421-4.
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