Evidence map›Paper›PMID 42249897›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Two-stage delayed and prelaminated nasolabial flap for nasal reconstruction.

Hasan Demirbaşoğlu, Beyzanur Geze, Serkan Tokgönül, Merve Aslan Akdoğan, Hülda Rıfat Özakpınar

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hasan DemirbaşoğluDepartment of Plastic, Reconstructive and Aesthetic Surgery, Van Training and Research Hospital, University of Health Sciences, Van, Türkiye. hasan.demirbasoglu@gmail.com.ORCID http://orcid.org/0009-0005-6815-756X
Beyzanur GezeDepartment of Plastic, Reconstructive and Aesthetic Surgery, Ankara Etlik City Hospital, Ankara, Türkiye.ORCID http://orcid.org/0009-0000-7660-380X
Serkan TokgönülDepartment of Plastic, Reconstructive and Aesthetic Surgery, Acıbadem Altunizade Hospital, İstanbul, Türkiye.ORCID http://orcid.org/0009-0005-6221-7584
Merve Aslan AkdoğanDepartment of Plastic, Reconstructive and Aesthetic Surgery, Private Practice, Ankara, Türkiye.ORCID http://orcid.org/0009-0001-9855-3740
Hülda Rıfat ÖzakpınarDepartment of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Lokman Hekim University, Ankara, Türkiye.ORCID http://orcid.org/0000-0001-7071-367X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeReconstruction of nasal defects involving the alar region, nasal tip, and lateral nasal wall remains challenging because restoration of contour continuity, structural support, and airway patency must be achieved simultaneously. This study evaluated the clinical outcomes of a two-stage delayed and prelaminated nasolabial flap designed to improve vascular reliability and long-term contour stability in nasal reconstruction.

methodsA total of 22 patients underwent nasal reconstruction following excision of basal cell carcinoma or squamous cell carcinoma. Defects included both full-thickness and complex partial-thickness nasal defects. The surgical technique combined flap delay, dermo-subcutaneous prelamination with conchal cartilage, and flap transfer through a prepared skin canal to preserve the natural alar groove and reduce pedicle compression. Postoperative complications and aesthetic outcomes were evaluated.

resultsAll flaps survived without total loss. Partial distal necrosis occurred in two patients and was successfully managed with skin grafting and secondary revision. Postoperative venous congestion developed in two patients and was treated with leech therapy. Trapdoor deformity occurred in four patients and improved with conservative management. Revision procedures were required in six patients, including flap thinning in four cases and secondary revision after partial necrosis in two cases. Defects measuring up to 6 cm were successfully reconstructed with satisfactory contour, color match, and preservation of nasal airway patency at a follow-up of 9-12 months.

conclusionThe two-stage delayed and prelaminated nasolabial flap is a reliable and versatile option for selected nasal defects, including full-thickness and complex partial-thickness reconstructions, providing durable structural support with minimal donor-site morbidity.

Indexed as

Basal Cell CarcinomaCarcinoma, Squamous CellNose NeoplasmsRhinoplastySkin NeoplasmsSurgical FlapsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPostoperative ComplicationsTreatment OutcomeAlar reconstructionNasal reconstructionNasal tip defectNasolabial flapPrelaminationSurgical delay

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.