Articles Vol. 67 No. CĐ8-NCKH 06/07/2026

OUTCOMES OF SUPERIORLY BASED NASOLABIAL ISLAND FLAPS IN NASAL SKIN CANCER RECONSTRUCTION: A REPORT OF 20 CASES

Do Nguyen Tuan Khanh1,2, Nguyen Viet Dung1,2
1 Ho Chi Minh City Oncology Hospital
2 Bệnh viện Ung Bướu Thành phố Hồ Chí Minh
DOI: 10.52163/yhc.v67iCD8.5673
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Keywords
Nasal skin cancer, superiorly based nasolabial island flap, basal cell carcinoma, squamous cell carcinoma.
Abstract

 

Objective: To evaluate the clinical characteristics and determine the long-term functional and aesthetic efficacy of the superiorly based nasolabial island flap in nasal reconstruction following skin cancer resection.

Subject and method: A descriptive case series was conducted on 20 patients with nasal skin cancer who underwent wide local excision and immediate reconstruction at Ho Chi Minh City Oncology Hospital from June 2022 to October 2025.

Results: The mean age was 66 ± 11.4 years old, with a female predominance (80%). BCC was the primary histological type (95%). Stage T2 tumors were most common (75%). The mean flap area was 18.7 ± 10.1cm². A 100% flap survival rate was achieved. Early complications (venous congestion, superficial necrosis) occurred in 15% of cases and resolved spontaneously. No recurrence or lymph node metastasis has been recorded. Aesthetic outcomes reached 100% "Excellent" and "Good" ratings.

Conclusion: The superiorly based nasolabial island flap is a feasible option, demonstrating favorable initial outcomes in this case series. Its wide rotation arc and superior reach enable coverage of all nasal subunits. By tunneling the pedicle subcutaneously, this technique facilitates a single-stage procedure, thereby optimizing treatment costs and patient recovery.

References
[1]
Trần Văn Thiệp. Phẫu thuật ung thư da mũi giai đoạn sớm. Tạp chí Ung thư học Việt Nam. 2010:200-3. Google Scholar
[2]
Baltrušaitytė K, Zacharevskij E, Pilipaitytė L, Braziulis K, Petkevičius A. Assessment of Standard Surgical Excision Efficacy and Analysis of Recurrence-Associated Factors in 343 Cases of Nasal Basal Cell Carcinoma: A Single-Center Retrospective Study. Healthcare (Basel). 2024;12(5). DOI: 10.3390/healthcare12050513 Google Scholar
[3]
Giebfried JW, Urken ML, Lawson W, Biller HF. Reconstruction of nasal defects with a nasolabial island flap. Arch Otolaryngol Head Neck Surg. 1987;113(3):295-8. DOI: 10.1001/archotol.1987.01860030071011 Google Scholar
[4]
Karsidag S, Ozcan A, Sumer O, Ugurlu K. Single-stage ala nasi reconstruction: lateral nasal artery perforator flap. J Craniofac Surg. 2010;21(6):1887-9. DOI: 10.1097/SCS.0b013e3181f4af27 Google Scholar
[5]
Sohn WI CJ, Seo BF, Jung SN. Reconstruction of nasal ala with nasolabial perforator flap after cancer removal. Head Neck Oncol. 2012. Google Scholar
[6]
Tatar S, Yontar Y, Ozmen S. Superiorly based nasolabial island flap for reconstruction of the lateral lower eyelid. Turk J Med Sci. 2017;47(6):1673-80. DOI: 10.3906/sag-1701-160 Google Scholar
[7]
Yoon TH, Yun IS, Rha DK, Lee WJ. Reconstruction of various perinasal defects using facial artery perforator-based nasolabial island flaps. Arch Plast Surg. 2013;40(6):754-60. DOI: 10.5999/aps.2013.40.6.754 Google Scholar
[8]
Lee DW, Ryu HR, Choi HJ, Kim JH. One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap. Arch Craniofac Surg. 2021;22(6):296-302. DOI: 10.7181/acfs.2021.00339 Google Scholar
[9]
Prakash S, Panda R, Kumar V, Saha SS, Choudhary L, Pandey A, et al. Nasolabial Perforator Flap for One-stage Reconstruction of Nasal Defects. J Cutan Aesthet Surg. 2017;10(1):22-7. DOI: 10.4103/0974-2077.204576 Google Scholar
[10]
Kerem H, Bali U, Sonmez E, Manavbasi YI, Yoleri L. The cranially based contralateral nasolabial flap for reconstruction of paranasal and periorbital surgical defects. J Plast Reconstr Aesthet Surg. 2014;67(5):655-61. DOI: 10.1016/j.bjps.2014.01.027 Google Scholar