[Application of nasolabial fold wrapped perforator flap in one-stage repairof nasal alar full-thickness defects after tumor resection]

Abstract

Objective:To explore the application of nasolabial fold wrapped perforator flap in one-stage repair of nasal alar full-thickness defects after external nasal tumor resection.Method:Fifteen csaes of alar full-thickness defects after external nasal tumor resection were repaired with the nasolabial fold wrapped perforator flaps in a one-stage procedure. We detected the blood vessel distribution and exit of the blood vessel with Doppler Ultrasonography before these surgeries，and designed the nasolabial fold wrapped perforator flap according to the area and size of nasal alar defects． The flap with reasonable thickness was able to repair the both sides of defect after being trimmed properly. Meanwhile，the flap could be folded to form a local flap covered or lined with skin. We rotated and transferred the flap to repair nasal alar defect． Result:All the flaps survived and all donor sites healed primarily．After 3 to 36 months of follow-up,the color，texture and thickness of the flaps was similar to those of recipient sites．The scar in donor site was minor．There was little scab skin in the nasal cavity. The cosmetic results was satisfactory. Conclusion:The nasolabial fold wrapped perforator flap has the advantages of reliable blood supply,long pedicle flap,proper thickness,outside the skin and the inner lining. The cosmetic appearance of nose is satisfactory.There was little scab skin in the nasal cavity. Also the sensory function of the external nose was retained. The nasolabial fold wrapped perforator flap technique provides an ideal reconstructive option for the nasal alar full-thickness defect repair at one-stage after tumor resection.

Keywords: defect repair; external nose; nasolabial; surgical flaps; tumor.