This interesting paper takes the common or garden nasolabial flap to new extremes. The flap is based on the contralateral superior orbital artery and behaves as an axial patterned flap as far as the alar rim, becoming a random patterned flap in any extension more distal to this landmark. Twenty-five cases are presented, with a mean age of 76 years, which might at least partially explain the gross neglect of the patients’ personal appearance, which would be rare in the West and which the described flap repairs with ease and distinction.
Superiorly based nasolabial flaps
Reviewed by Martyn Webster
The cranially based contralateral nasolabial flap for reconstruction of paranasal and periorbital surgical defects.
