title: The cranially based contralateral nasolabial flap for reconstruction of paranasal and periorbital surgical defects.
abstract: The importance of the paranasal and periorbital regions on the aesthetics of the face presents a variety of reconstructive challenges for surgical and traumatic defects of those regions. We used the cranially based nasolabial flap in patients with full-thickness soft-tissue defects of the paranasal and periorbital regions harvested from the contralateral side of the present defect. We present our experience in 25 patients of geriatric population (13 females and 12 males with a mean age of 76) with complex soft-tissue defects in the paranasal and periorbital regions whose defects were reconstructed with contralateral nasolabial skin flaps. Sizes of the defects changed between 2 × 3 cm and 6 × 7 cm. The flap sizes varied from a width of 2 to 5 cm (average 3 cm) and a length of 7 to 11 cm (average 8 cm). Primary closure of the donor sites of the flaps was possible in 24 of the patients in this series. Twenty-one flaps of this series (84%) healed without any necrosis and completely survived. The contralateral nasolabial flap is a very convenient, safe and reliable flap that can be used in medium to large paranasal and periorbital defects. Optimal aesthetic results for a variety of central facial defects could be obtained with this flap, especially when the ipsilateral nasolabial flap cannot be used due to various reasons.
authors: Celal Bayar University, Department of Plastic, Reconstructive and Esthetic Surgery, Uncubozkoy, Manisa, Turkey. Electronic address: hakankerem@yahoo.com.
authors: Hakan
authors: H
authors: Kerem
authors: Celal Bayar University, Department of Plastic, Reconstructive and Esthetic Surgery, Uncubozkoy, Manisa, Turkey.
authors: Ulas
authors: U
authors: Bali
authors: Izmir Ataturk Training Hospital, 1st Plastic Surgery Clinic, Izmir, Turkey.
authors: Erhan
authors: E
authors: Sönmez
authors: Private Practice in Istanbul, Turkey.
authors: Yurdakul Ilker
authors: YI
authors: Manavbaşı
authors: Celal Bayar University, Department of Plastic, Reconstructive and Esthetic Surgery, Uncubozkoy, Manisa, Turkey.
authors: Levent
authors: L
authors: Yoleri
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005123:Eye; D005145:Face / Q000601:surgery*; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps
keywords: Cranially based; Defect closure; Local flaps; Nasolabial flap; Paranasal defects; Periorbital defects