Reliability of the melolabial flap for alar reconstruction.
OBJECTIVE
To review a series of alar reconstruction cases in which the melolabial flap was used.


METHODS
Case series.


METHODS
University medical center and private practice.


METHODS
One hundred five consecutive patients with alar defects, resulting from oncologic resection, in whom melolabial flap reconstruction was suitable.


METHODS
Single-stage melolabial flap reconstruction by a single surgeon (W.H.L.).


METHODS
Viability of the flap and presence or absence of surgical complications.


RESULTS
There were no complete flap failures. Seven patients had partial necrosis of the distal end of the flap, and 3 of these instances occurred when the flap was rolled back onto itself to reconstruct the nasal vestibule; however, none of the patients required a subsequent operation or notching. Three patients developed hematoma, and 2 of them required a return to the operating room for control of bleeding. Four patients developed superficial infection, and 1 developed cellulitis of the cheek requiring opening of the wound and later revision of the flap. This was the only flap requiring revision. Fifteen patients required 3 or fewer corticosteroid infiltrations postoperatively for flap pin-cushioning or scar hypertrophy.


CONCLUSIONS
The melolabial flap is a reliable tool in the reconstructive armamentarium of the facial plastic surgeon.
Lindsey
W H
WH
Department of Otolaryngology Head-Neck Surgery, University of Virginia Medical Center, McLean, USA. drlindsey@novafaces.com
D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007742:Labial Frenum; D008297:Male; D009667:Nose Deformities, Acquired / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013524:Surgical Flaps; D016896:Treatment Outcome; D014945:Wound Healing