Format

Send to

Choose Destination
Ann Plast Surg. 2015 Aug;75(2):163-9. doi: 10.1097/SAP.0000000000000059.

The Use of a Superiorly Based Melolabial Interpolated Flap for Reconstruction of Anterior Oronasal Fistulas: An Easy and Practical Solution.

Author information

1
From the Maxillo Facial Surgery, Complesso Integrato Columbus, Catholic University Medical School, Rome, Italy.

Abstract

PURPOSE:

This study aimed to propose the use of a superiorly based melolabial interpolated flap for reconstruction of anteriorly located oronasal fistulas maxillary defects.

MATERIALS AND METHODS:

Using a prospective study design, we evaluated indications and outcomes of the reconstructive technique using the interpolated melolabial flap in 6 patients affected by anteriorly located maxillary defects with naso-sinonasal communication. The cases differed in demographic characteristics and etiology of the defect. The outcome variables were flap vitality/failure and persistent/recurrent oronasal fistula. Both the outcomes were clinically evaluated.

RESULTS:

No partial or total flap failures were recorded. Two patients experienced recurrent oronasal fistula after previous attempts of correction that required second surgery repair; in both cases, the melolabial flap was available and functional for the secondary procedure.

CONCLUSIONS:

In selected cases, the superiorly based interpolated melolabial flap could represent a valuable choice for repairing of anteriorly located maxillary defects with oronasal fistulas.

PMID:
24317248
DOI:
10.1097/SAP.0000000000000059
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center