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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue2
Subject Area: Dental Medicine
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DOI: 10.5272/jimab.2025312.6136
Published online: 11 April 2025
Case report
J of IMAB. 2025 Apr-Jun;31(2):6136-6142
USE OF NASOLABIAL FLAP FOR RECONSTRUCTION OF THE SOFT TISSUES OVER THE ALVEOLAR RIDGE AFTER TRAUMA ON THE MANDIBLE: A CASE REPORT
Elitsa Dzhongova
, Stelian Edrev,
Department of Oral Surgery, Faculty of Dental Medicine, Medical University -Varna, Bulgaria.
ABSTRACT:
Nasolabial flap technique (NLF) is the one of the oldest methods for reconstructing orofacial soft tissue defects. It is recognized as a simple, effective, and relatively safe method, with a low risk of complications. NLF offer good mobility and is a functional and aesthetic satisfactory alternative to free tissue transfer.Тhe application of this method for reconstruction in young people may result in temporary disturbances in speech, nutrition, oral hygiene maintenance, and a short-term reduction in quality of life.
Aim. The purpose of this publication is to present a clinical case involving the use of a rotated nasolabial flap (NLF) for the repair of soft tissue defects in the oral cavity following trauma (fractura) and subsequently developed osteomyelitis of the mandible while also reviewing relevant dental literature on its efficacy and potential limitationsin young people.
Material and methods. This publication presents a clinical case involving the two-stage reconstruction of a mandibular defect caused by fracture and traumatic soft tissue injury.
Results. The application of a rotated nasolabial flap demonstrates an effective alternative technique for the repair of small to medium-sized soft tissue defects in the oral cavity. However, in young patients without concomitant diseases, the two-stage reconstruction method in an unappropriate manner for soft tissue reconstruction in oral cavity. NLP may result in temporary disturbances in speech, nutrition, oral hygiene maintenance, and a short-term reduction in quality of life.
Conclusion: The choice of a treatment approach should not be guided solely by the technique's success rate, but factors such as the patient's age, the presence of comorbidities, and the treatment's impact on the patient's quality of life and duration must also be taken into account.
Keywords: nasolabial flap, intraoral reconstruction, quality of life, local flap,
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Please cite this article as: Dzhongova E, Edrev S. Use of nasolabial flap for reconstruction of the soft tissues over the alveolar ridge after trauma on the mandible: a case report. J of IMAB. 2025 Apr-Jun;31(2):6136-6142. [Crossref - 10.5272/jimab.2025312.6136]
Correspondence to: Elitsa Dzhongova, Department Oral Surgery, Faculty of Dental Medicine, Medical University -Varna; 84, Tsar Osvoboditel Str., Varna, Bulgaria; E-mail: dr.dzhongova@mail.bg
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Received: 30 October 2024
Published online: 11 April 2025