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ORIGINAL ARTICLE
Year : 2018  |  Volume : 26  |  Issue : 4  |  Page : 151-155

Nasolabial flaps for nasal reconstruction: Pros and cons


1 Izmir Katip Celebi University, Department of Plastic, Reconstructive and Aesthetic Surgery, Ataturk Training and Research Hospital, Izmir, Turkey
2 Department of Plastic, Reconstructive and Aesthetic Surgery, Bozyaka Training and Research Hospital, Izmir, Turkey

Correspondence Address:
Dr. Ersin Aksam
Department of Plastic, Reconstructive and Aesthetic Surgery, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Izmir
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjps.tjps_37_18

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Background: Nasolabial flaps are one of the most preferred methods for nasal reconstruction. Lots of modifications of nasolabial flaps were defined. V-Y or hatchet type advancement, transposition, subcutaneous pedicled, two-stage interpolation, and propeller types are commonly used. Objective: The objective of the study is to evaluate the nasal reconstructions with nasolabial flaps according to subunits and defining the advantages and disadvantages for each subunit. Patients and Methods: Patients whose nasal defects were reconstructed with nasolabial flaps in the last 5 years were evaluated in this study. Results: Ninety-one patients whose nasal defects were reconstructed with nasolabial flaps were included in this study. V-Y advancement, hatchet type advancement, transposition, subcutaneous pedicled, two-stage interpolation, and propeller type nasolabial flaps were used for reconstruction of defects. The most common complication was trap-door deformity that was followed by alar distortion and venous congestion. Conclusion: V-Y or hatchet type advancement flaps and subcutaneous pedicled type should be preferred for sidewalls and dorsum defects, respectively. Two-stage interpolation type gives the best results for tip region defects. Propeller and transposition type flaps should be the choice of treatment in alar region defects.


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