Medknow Publications on behalf of Indian Journal of Plastic Surgery
Abstract
Aim: To evaluate the fan flaps done during the past two years with
regard to applicability, reliability, functional perspective and
complications. Materials and Methods: All the fan flaps done were
reviewed by inspecting case records and directly following up the
patients (at periodic intervals). The indications, applicability to
defect size, postoperative aesthetic and functional results and
drawbacks were noted. Results: Eight fan flaps were done during this
period. All were done for squamous cell carcinoma affecting lower lip.
All the flaps survived. Two early cases of Gilles fan flap developed
significant microstomia. Later flaps with neurovascular preservation
maintained sensations with good commissural competence. Nakajima fan
flaps gave good overall results. Conclusions: The fan flaps,
especially the Nakajima modification with neurovascular preservation
are safe and reliable flaps for lip reconstruction in terms of form and
function
