title: The Use of a Superiorly Based Melolabial Interpolated Flap for Reconstruction of Anterior Oronasal Fistulas: An Easy and Practical Solution.
abstract: OBJECTIVE
  This study aimed to propose the use of a superiorly based melolabial interpolated flap for reconstruction of anteriorly located oronasal fistulas maxillary defects.
  
  
  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.
authors: From the Maxillo Facial Surgery, Complesso Integrato Columbus, Catholic University Medical School, Rome, Italy.
authors: Andrea
authors: A
authors: Torroni
authors: Giuliana
authors: G
authors: Longo
authors: Tito Matteo
authors: TM
authors: Marianetti
authors: Giulio
authors: G
authors: Gasparini
authors: Daniele
authors: D
authors: Cervelli
authors: Enrico
authors: E
authors: Foresta
authors: Sandro
authors: S
authors: Pelo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D009668:Nose Diseases / Q000209:etiology / Q000601:surgery*; D016155:Oral Fistula / Q000209:etiology / Q000601:surgery*; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D016156:Respiratory Tract Fistula / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome