ABDELMAUGOOD, A., Mazeed, A., Abdel Megeed, A., El Sayed, G. (2025). 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, 49(2), 91-97. doi: 10.21608/ejprs.2025.425119
AYA AHMED ABDELMAUGOOD; Ahmed Mazeed; Ahmed Gaber Abdel Megeed; Gamal Youssef El Sayed. "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, 49, 2, 2025, 91-97. doi: 10.21608/ejprs.2025.425119
ABDELMAUGOOD, A., Mazeed, A., Abdel Megeed, A., El Sayed, G. (2025). '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, 49(2), pp. 91-97. doi: 10.21608/ejprs.2025.425119
ABDELMAUGOOD, A., Mazeed, A., Abdel Megeed, A., El Sayed, G. 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, 2025; 49(2): 91-97. doi: 10.21608/ejprs.2025.425119
The Reliability and Versatility of Facial Artery Perforator-Based Nasolabial Flaps in the Reconstruction of Lip Defects
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.
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