Nasolabial Flap: Versatile Flap for Basal Cell Carcinoma Nose
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ORIGINAL ARTICLE
Nasolabial Flap: Versatile Flap for Basal Cell Carcinoma Nose Vikas Sinha1
•
Sandeep Kumar Yadav1 • Sushil G. Jha1 • Nirav Chaudhari1 • Rashmin Patel1
Received: 12 August 2020 / Accepted: 28 September 2020 Ó Association of Otolaryngologists of India 2020
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 & Vikas Sinha [email protected] Sandeep Kumar Yadav [email protected] Sushil G. Jha [email protected] Nirav Chaudhari [email protected] Rashmin Patel [email protected] 1
Sir T General Hospital, Govt. Medical College, Bhavnagar, Gujarat, India
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. Keywords Nasolabial flap Basal cell carcinoma
Introduction The nasolabial flap is very versatile flap and one-stage flap for the basal cell carcinoma of nose and it is a very versatile flap for reconstructing moderate facial defect [1, 2]. This flap can be used to reconstruct many areas of the nose [3]. The flap is based on the angular branch of facial artery, the infraorbital artery and the transverse facial artery [4]. The flap can be superiorly based to reconstruct defects on the cheek, sidewall or dorsum of the nose, alae, columella and the lower eyelid. Inferiorly based flaps can be used to reconstruct defects in the upper lip, anterior floor of the mouth and the
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