CLINICAL APPLICATION OF NASOLABIAL ISLAND PEDICLED FLAP FOR REPAIRING MOUTH FLOOR DEFECTS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

HUXiaohua ,  HUANGGuilin , ZHANGNini , YIJie , YAOLi , ZHANGLin

Department of Oral and Maxillofacial Surgery, Stomatological Hospital Affiliated to Zunyi Medical College, Zunyi Guizhou, 563000, P. R. China;

Corresponding author：

HUANGGuilin, Email: chaojiehuanghgl@163.com

Keywords：

Nasolabial island pedicled flap; Mouth floor defect; Wound repair

DOI：

10.7507/1002-1892.20140157

Video：

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Objective To investigate the effectiveness of nasolabial island pedicled flap in repairing mouth floor defects. Methods Between July 2010 and July 2013, 13 cases of mouth floor defects were repaired with nasolabial island pedicled flap. There were 7 males and 6 females, aged 36-73 years (mean, 58 years). Defects were caused by lesion resection, including 4 cases of leukoplakias, 2 cases of erythema, 1 case of mucoepidermoid carcinoma, 2 cases of the month floor cancer, and 4 cases of tongue cancer. The locations of defects were the mouth floor in 5 cases, the mouth floor and tongue body in 6 cases, and the mouth floor and gingival in 2 cases; the mucosa and submucosa were involved in 6 cases, and the sublingual gland, tongue muscle or alveolar process in 7 cases. The size of defect was 1-4 cm. The size of the flaps ranged from 4.5 cm×2.0 cm to 6.5 cm ×3.5 cm. Results The operation was successfully performed in all patients; the flaps survived; and the primary healing of incisions at donor site and recipient site were obtained. Thirteen patients were followed up 5-24 months (mean, 11 months). No tumor recurrence was observed; the patients had normal functions of eating, swallowing, and speech. The facial appearance was satisfactory. No obvious deformity was observed at donor sites. Conclusion The nasolabial island pedicled flap is fit for repairing small or middle sized defects of the mouth floor, and it has the advantages of flexible flap transplantation, less injury at donor site, easy operation, and high flap survival rate.

Citation： HUXiaohua, HUANGGuilin, ZHANGNini, YIJie, YAOLi, ZHANGLin. CLINICAL APPLICATION OF NASOLABIAL ISLAND PEDICLED FLAP FOR REPAIRING MOUTH FLOOR DEFECTS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(6): 710-713. doi: 10.7507/1002-1892.20140157 Copy

1.	田嗥, 喻建军, 李赞, 等. 口底癌术后缺损修复重建的探讨. 中华肿瘤杂志, 2014, 36(2):155-157.
2.	李建虎, 孙沫逸, 张圃, 等. 颈阔肌肌皮瓣修复口腔恶性肿瘤术后软组织缺损. 现代肿瘤医学, 2007, 15(2):185-187.
3.	陈广盛, 杨志强, 许晓鸿, 等. 胸锁乳突肌肌皮瓣在修复口底癌术后缺损中的应用. 广东医学, 2008, 29(7):1193-1195.
4.	Fisehinger J, Zargi M. Repair of anterior floor of mouth defects by a central or paramedian island tongue flap. J Laryngol Otol, 2003, 117(5):391-395.
5.	江毅, 张国华, 廖佳敏. 带蒂胸大肌肌皮瓣修复口底癌术后缺损的应用. 南昌大学学报:医学版, 2010, 50(10):85-87.
6.	Cöloğlu H, Coşkun E, Uysal AC, et al. Anterior superficialtemporal artery island flap:intraoral defect repair. J Craniofac Surg, 2012, 23(6):e594-599.
7.	宋晓萌, 袁冶, 施星辉, 等. 部分去皮化前臂皮瓣修复舌癌和口底癌. 中华整形外科杂志, 2012, 28(1):62-64.
8.	喻建军, 周晓, 陈杰, 等. 股前外侧皮瓣修复口底癌术后缺损. 现代肿瘤医学, 2008, 16(6):942-944.
9.	Rökenes HK, Bretteville G, Lövdal O, et al. The nasolabial skin flap in intraoral reconstruction. ORL J Otorhinolaryngol Relat Spec, 1991, 53(6):346-348.
10.	邵英, 张舵, 赵自然, 等. 侧鼻动脉为蒂的鼻唇沟皮瓣修复鼻缺损. 中国修复重建外科杂志, 2010, 24(5):552-555.
11.	Napolitano M, Mast BA. The nasolabial flap revisited as an adjunct to floor-of mouth reconstruction. Ann Plast Surg, 2001, 46(3):265-268.
12.	Guéro S, Bastian D, Lassau JP, et al. Anatomical basis of a new nasolabial island flap. Surg Radiol Anat, 1991, 13(4):265-270.
13.	Vartanian JG, Carvalho AL, Carvalho SM, et al. Pectoralis major and other myofacial/myocutaneous flaps in head and neck cancer reconstruction experience with 437 cases at a single institution. Head Neck, 2004, 26(12):1018-1023.
14.	张健, 李锐, 卞春梅. 口腔修复膜在口腔粘膜缺损24例中的应用. 交通医学, 2011, 25(5):523-524.
15.	刘冰, 赵怡方. 颈部带蒂瓣修复口腔颌面部缺损临床应用. 中国实用口腔科杂志, 2011, 4(12):705-708.
16.	鲍海宏, 华泽权, 张力, 等. 舌正中岛状瓣修复口底缺损. 临床口腔医学杂志, 2012, 28(12):742-744.
17.	雷明辉, 王俊, 郅克谦. 鼻唇沟瓣修复颌面部恶性肿瘤术后缺损的临床观察. 中国美容医学, 2011, 20(8):1230-1231.
18.	Varghese B, Sebastian P, Cherian T, et al. Nasolabial flaps in oral reconstruction:An analysis of 224 cases. Br J Plast Surg, 2001, 54(6):499-503.
19.	胡小华, 黄桂林, 蒋练, 等. 改良耳后区入路下颌下腺摘除术. 中国修复重建外科杂志, 2010, 24(8):930-932.

1. 田嗥, 喻建军, 李赞, 等. 口底癌术后缺损修复重建的探讨. 中华肿瘤杂志, 2014, 36(2):155-157.
2. 李建虎, 孙沫逸, 张圃, 等. 颈阔肌肌皮瓣修复口腔恶性肿瘤术后软组织缺损. 现代肿瘤医学, 2007, 15(2):185-187.
3. 陈广盛, 杨志强, 许晓鸿, 等. 胸锁乳突肌肌皮瓣在修复口底癌术后缺损中的应用. 广东医学, 2008, 29(7):1193-1195.
4. Fisehinger J, Zargi M. Repair of anterior floor of mouth defects by a central or paramedian island tongue flap. J Laryngol Otol, 2003, 117(5):391-395.
5. 江毅, 张国华, 廖佳敏. 带蒂胸大肌肌皮瓣修复口底癌术后缺损的应用. 南昌大学学报:医学版, 2010, 50(10):85-87.
6. Cöloğlu H, Coşkun E, Uysal AC, et al. Anterior superficialtemporal artery island flap:intraoral defect repair. J Craniofac Surg, 2012, 23(6):e594-599.
7. 宋晓萌, 袁冶, 施星辉, 等. 部分去皮化前臂皮瓣修复舌癌和口底癌. 中华整形外科杂志, 2012, 28(1):62-64.
8. 喻建军, 周晓, 陈杰, 等. 股前外侧皮瓣修复口底癌术后缺损. 现代肿瘤医学, 2008, 16(6):942-944.
9. Rökenes HK, Bretteville G, Lövdal O, et al. The nasolabial skin flap in intraoral reconstruction. ORL J Otorhinolaryngol Relat Spec, 1991, 53(6):346-348.
10. 邵英, 张舵, 赵自然, 等. 侧鼻动脉为蒂的鼻唇沟皮瓣修复鼻缺损. 中国修复重建外科杂志, 2010, 24(5):552-555.
11. Napolitano M, Mast BA. The nasolabial flap revisited as an adjunct to floor-of mouth reconstruction. Ann Plast Surg, 2001, 46(3):265-268.
12. Guéro S, Bastian D, Lassau JP, et al. Anatomical basis of a new nasolabial island flap. Surg Radiol Anat, 1991, 13(4):265-270.
13. Vartanian JG, Carvalho AL, Carvalho SM, et al. Pectoralis major and other myofacial/myocutaneous flaps in head and neck cancer reconstruction experience with 437 cases at a single institution. Head Neck, 2004, 26(12):1018-1023.
14. 张健, 李锐, 卞春梅. 口腔修复膜在口腔粘膜缺损24例中的应用. 交通医学, 2011, 25(5):523-524.
15. 刘冰, 赵怡方. 颈部带蒂瓣修复口腔颌面部缺损临床应用. 中国实用口腔科杂志, 2011, 4(12):705-708.
16. 鲍海宏, 华泽权, 张力, 等. 舌正中岛状瓣修复口底缺损. 临床口腔医学杂志, 2012, 28(12):742-744.
17. 雷明辉, 王俊, 郅克谦. 鼻唇沟瓣修复颌面部恶性肿瘤术后缺损的临床观察. 中国美容医学, 2011, 20(8):1230-1231.
18. Varghese B, Sebastian P, Cherian T, et al. Nasolabial flaps in oral reconstruction:An analysis of 224 cases. Br J Plast Surg, 2001, 54(6):499-503.
19. 胡小华, 黄桂林, 蒋练, 等. 改良耳后区入路下颌下腺摘除术. 中国修复重建外科杂志, 2010, 24(8):930-932.

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CLINICAL APPLICATION OF NASOLABIAL ISLAND PEDICLED FLAP FOR REPAIRING MOUTH FLOOR DEFECTS

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