The Reliability and Versatility of Facial Artery Perforator-Based Nasolabial Flaps in the Reconstruction of Lip Defects | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 2, Volume 49, Issue 2, April 2025, Page 91-97 PDF (985.61 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2025.425119 | ||||
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Authors | ||||
AYA AHMED ABDELMAUGOOD* 1; Ahmed Mazeed2; Ahmed Gaber Abdel Megeed2; Gamal Youssef El Sayed2 | ||||
1The Department of Plastic Surgery, Faculty of Medicine, New Valley University | ||||
2The Department of Plastic Surgery, Faculty of Medicine, Sohag University | ||||
Abstract | ||||
Background: The lips are the active focal point of the lower third of the face, making lip reconstruction a particularly difficult task for a plastic surgeon. The goals of lip reconstruction are both functional and aesthetic, and the surgical techniques frequently overlap. Objective: To assess the functional and aesthetic results of facial artery perforator-based nasolabial flaps in the reconstruction of lip defects, regarding flap survival and complications, donor site morbidity, and the aesthetic outcome of the flap and donor site. Patients and Methods: Twenty patients participated in the current study, which was conducted from January 2020 to January 2022 and included a six-month follow-up. Eight cases had post-tumor resection lip defects. Twelve flaps had post-traumatic defects; the defect size ranged from ½ to 2/3 of the lip < br />size. Results: Twelve flaps survived completely; venous congestion was treated conservatively in six flaps; two flaps required debridement due to distal flap necrosis, reconstructed by local flap advancement. In fifteen cases, the donor site scarIt was extremely good. Conclusion: Nasolabial flaps based on the facial artery perforatorThey are easy to harvest, simple, and reliable. They offer a satisfactory functional outcome with preservation of touch and temperature sensitivity, particularly when the defect is accompanied by substantial mucosal and cutaneous abnormalities. | ||||
Keywords | ||||
Facial Artery Perforator Nasolabial Flaps (FAP); Nasolabial Flaps; Reconstruction of Lip Defects | ||||
References | ||||
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