Tae-Bin Won1,2*#, Joon Kon Kim1,3#, Woo-Jin Jeong1 and Sung-Woo Cho1
1Department of Otorhinolaryngology, Head and Neck Surgery, Seoul National University Bundang Hospital, Korea
2Department of Otorhinolaryngology, Head and Neck Surgery, Seoul National University Hospital, Korea
3Department of Otorhinolaryngology, Head and Neck Surgery, Daejeon Eulji Medical Center, Eulji University School
of Medicine, Korea
#Both authors contributed equally to the contents of this article
Purpose: This study aimed to analyze the usefulness of employing pedicled nasal surgical flaps for the reconstructive surgical procedures of various naso-oropharyngeal lesions and investigate factors related to success. Methods: A retrospective case review was conducted on patients with oropharyngeal lesions in which reconstruction was performed with pedicled nasal surgical flaps, with a follow-up of at least 1 year. Clinical features such as demographics, etiology, previous surgical history, underlying disease, surgical method, outcome, and complications were analyzed. Results: A total of 12 patients were included. The mean age of the patients was 51.0 years. The reasons for reconstruction included palatal fistula (n=6), oroantral fistula (n=3), and nasooropharyngeal stenosis (n=3). A multilayered reconstruction was used for oropharyngeal repair. The most commonly used nasal surgical flap was the nasoseptal flap (n=5, 41.6%), followed by the inferior turbinate flap (n=3, 25%), lateral nasal wall flap (n=2, 16.6%), middle turbinate flap (n=1, 8.3%), and nasal floor flap (n=1, 8.3%). Reconstruction was successful in all but one patient with oronasal fistula, and a patent airway was maintained in all cases of naso-oropharyngeal stenosis, with an overall success rate of 91.6%. There was no additional nasal morbidity. Conclusion: Pedicled nasal surgical flaps can be used to successfully reconstruct selective nasooropharyngeal lesions.
Surgical flaps; Reconstructive surgical procedures; Stenosis; Oroantral fistula
Won T-B, Kim JK, Jeong W-J, Cho S-W. Pedicled Nasal Flap for Naso- Oropharyngeal Reconstruction. Clin Surg. 2021; 6: 3245..