Our Experience with Nasolabial Flaps in Soft Tissue Reconstruction of Oral Malignancy; Feasible Option in Rural Set Up
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ORIGINAL ARTICLE
Our Experience with Nasolabial Flaps in Soft Tissue Reconstruction of Oral Malignancy; Feasible Option in Rural Set Up Richa Goyal1,5 • Chandra Veer Singh2 • Shraddha Jain2 • Sana Parveen2 Prasheelkumar Gupta3 • Deepak Gupta4
•
Received: 11 August 2020 / Accepted: 31 October 2020 Ó Association of Otolaryngologists of India 2020
Abstract In this era of microvascular expertise, free flaps are the preferred option by reconstructive surgeons but has technical limitation in rural set up. Nasolabial flaps has been widely mentioned in literature for smaller defect reconstruction with minimal morbidity. It is a robust flap for soft tissue reconstruction in early stage lesion of oral cavity. We present a series of single stage oral cavity reconstruction using inferiorly based islanded nasolabial flaps in small to moderate soft tissue defects. This is a retrospective study which included biopsy proven 10 patients diagnosed with early stage oral cavity malignancy. All the patients underwent single stage islanded nasolabial flap for small to moderate oral defects. Follow up of all patients were recorded with respect to clinical photographs, mouth opening, tongue mobility, deglutition, speech and patient satisfaction. All operated patients had good functional outcome in terms of swallowing, speech and tongue mobility. All patients were satisfactory with the
postoperative results. In early stage oral malignancy patients, this option justifies a reliable and cost effective approach. Inferiorly based islanded nasolabial flaps provides a single stage, safer, faster and reliable option for small to moderate oral cavity defects.
& Richa Goyal [email protected]
2
Chandra Veer Singh [email protected]
Department of ENT, Datta Meghe Institute of Medical Sciences, Jawahar Lal Nehru Medical College, Wardha, Maharashtra, India
3
Shraddha Jain [email protected]
Department of NeuroSurgery, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
4
Department of Anaesthesia, Datta Meghe Institute of Medical Sciences, Jawahar Lal Nehru Medical College, Wardha, Maharashtra, India
5
Present Address: Mahatma Gandhi Institute of Medical Sciences, KHS Campus, Vivekanand block, Quarter No. 8, Sevagram, Wardha, Maharashtra 442102, India
Sana Parveen [email protected] Prasheelkumar Gupta [email protected]
Keywords Islanded nasolabial flaps Oral reconstruction Single stage Early stage malignancy
Introduction Out of all the reported oral malignancy cases, major burden belongs to rural population of central India. This can be attributed to lack of awareness and chronic tobacco chewing habits [1]. Early detection and diagnosis in oral malignancy patients is an important step to be followed in our health care system with special focus on disease burden
Deepak Gupta [email protected] 1
Department of Surgery, Datta Meghe Institute of Medical Sciences, Jawahar Lal Nehru Medical College, Wardha, Maharashtra, India
123
Indian J Otolaryngol Head Neck Surg
areas. At pre
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