The island nasolabial flap was used for the reconstruction of buccal and alar defects
in 10 patients. Alar defects produced after ablating small basal cell carcinomas were
covered by superiorly based island nasolabial flap and buccal defects caused by incising
oral submucous fibrosis and defects following excision of verrucous carcinoma were
reconstructed by inferiorly based island nasolabial flap. The incorporation of the
underlying vessel in the flap and selective defattening of the flap and it's pedicle
by microdissection greatly aids in increasing it's arc of rotation and improving it's
maneuverability.
Key Words
Flaps - Nasolabial - Island
