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, 喻建軍, 李贊, 等. 口底癌術后缺損修復重建的探討. 中華腫瘤雜志, 2014, 36(2):155-157.
2.	李建虎, 孫沫逸, 張圃, 等. 頸闊肌肌皮瓣修復口腔惡性腫瘤術后軟組織缺損. 現代腫瘤醫學, 2007, 15(2):185-187.
3.	陳廣盛, 楊志強, 許曉鴻, 等. 胸鎖乳突肌肌皮瓣在修復口底癌術后缺損中的應用. 廣東醫學, 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, 張國華, 廖佳敏. 帶蒂胸大肌肌皮瓣修復口底癌術后缺損的應用. 南昌大學學報:醫學版, 2010, 50(10):85-87.
6.	C?lo?lu H, Co?kun E, Uysal AC, et al. Anterior superficialtemporal artery island flap:intraoral defect repair. J Craniofac Surg, 2012, 23(6):e594-599.
7.	宋曉萌, 袁冶, 施星輝, 等. 部分去皮化前臂皮瓣修復舌癌和口底癌. 中華整形外科雜志, 2012, 28(1):62-64.
8.	喻建軍, 周曉, 陳杰, 等. 股前外側皮瓣修復口底癌術后缺損. 現代腫瘤醫學, 2008, 16(6):942-944.
9.	R?kenes HK, Bretteville G, L?vdal O, et al. The nasolabial skin flap in intraoral reconstruction. ORL J Otorhinolaryngol Relat Spec, 1991, 53(6):346-348.
10.	邵英, 張舵, 趙自然, 等. 側鼻動脈為蒂的鼻唇溝皮瓣修復鼻缺損. 中國修復重建外科雜志, 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.	張健, 李銳, 卞春梅. 口腔修復膜在口腔粘膜缺損24例中的應用. 交通醫學, 2011, 25(5):523-524.
15.	劉冰, 趙怡方. 頸部帶蒂瓣修復口腔頜面部缺損臨床應用. 中國實用口腔科雜志, 2011, 4(12):705-708.
16.	鮑海宏, 華澤權, 張力, 等. 舌正中島狀瓣修復口底缺損. 臨床口腔醫學雜志, 2012, 28(12):742-744.
17.	雷明輝, 王俊, 郅克謙. 鼻唇溝瓣修復頜面部惡性腫瘤術后缺損的臨床觀察. 中國美容醫學, 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.	胡小華, 黃桂林, 蔣練, 等. 改良耳后區入路下頜下腺摘除術. 中國修復重建外科雜志, 2010, 24(8):930-932.

1. 田嗥, 喻建軍, 李贊, 等. 口底癌術后缺損修復重建的探討. 中華腫瘤雜志, 2014, 36(2):155-157.
2. 李建虎, 孫沫逸, 張圃, 等. 頸闊肌肌皮瓣修復口腔惡性腫瘤術后軟組織缺損. 現代腫瘤醫學, 2007, 15(2):185-187.
3. 陳廣盛, 楊志強, 許曉鴻, 等. 胸鎖乳突肌肌皮瓣在修復口底癌術后缺損中的應用. 廣東醫學, 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, 張國華, 廖佳敏. 帶蒂胸大肌肌皮瓣修復口底癌術后缺損的應用. 南昌大學學報:醫學版, 2010, 50(10):85-87.
6. C?lo?lu H, Co?kun E, Uysal AC, et al. Anterior superficialtemporal artery island flap:intraoral defect repair. J Craniofac Surg, 2012, 23(6):e594-599.
7. 宋曉萌, 袁冶, 施星輝, 等. 部分去皮化前臂皮瓣修復舌癌和口底癌. 中華整形外科雜志, 2012, 28(1):62-64.
8. 喻建軍, 周曉, 陳杰, 等. 股前外側皮瓣修復口底癌術后缺損. 現代腫瘤醫學, 2008, 16(6):942-944.
9. R?kenes HK, Bretteville G, L?vdal O, et al. The nasolabial skin flap in intraoral reconstruction. ORL J Otorhinolaryngol Relat Spec, 1991, 53(6):346-348.
10. 邵英, 張舵, 趙自然, 等. 側鼻動脈為蒂的鼻唇溝皮瓣修復鼻缺損. 中國修復重建外科雜志, 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. 張健, 李銳, 卞春梅. 口腔修復膜在口腔粘膜缺損24例中的應用. 交通醫學, 2011, 25(5):523-524.
15. 劉冰, 趙怡方. 頸部帶蒂瓣修復口腔頜面部缺損臨床應用. 中國實用口腔科雜志, 2011, 4(12):705-708.
16. 鮑海宏, 華澤權, 張力, 等. 舌正中島狀瓣修復口底缺損. 臨床口腔醫學雜志, 2012, 28(12):742-744.
17. 雷明輝, 王俊, 郅克謙. 鼻唇溝瓣修復頜面部惡性腫瘤術后缺損的臨床觀察. 中國美容醫學, 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. 胡小華, 黃桂林, 蔣練, 等. 改良耳后區入路下頜下腺摘除術. 中國修復重建外科雜志, 2010, 24(8):930-932.

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