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Nasolabial Flap
Applications
Coverage
Nose
Upper Lip
Lower Lip
Floor of Mouth
Reconstruction
Nose
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Regional Flaps: Anatomy and Basic Techniques / Head and Neck
FEATURES
LOCATION: Nasolabial fold
SIZE:2X Sem
Flap Type: Fasciocutancous
Although generally classified 2s an “axial” skin flap, the underlying axial vessel, the
angular artery, is rarely included with the flap itself. The flap is usually based on
perpendicular branches of the angular arvery that course through the muscle and
into the overlying skin.
NERVE SUPPLY
SENSORY: Middle division of trigeminal nerve Nasolabial Flap
Dominant pedicle: Angulerertery (0)
VASCULAR ANATOMY
Dominant Pedicle: Angular artery
‘The angular artery is the terminal branch of the facial artery. Itascends lateral to the
nose and up to the medial aspect of the orbit where it runs in the fibers of the levator
labii superiorisalzeque nasi. It is accompanied by the angular vein, It will eventually
form an anastomosis with the infraorbital artery and branches of the ophthalmic
artery, the dorsal nasal arteries.
REGIONAL SOURCE: Facial artery
STH: Lem
DIAMETER: 0.5 mm
LOCATION; Lateral to oral commissure buried in the orbicularis oris and levator labii
superioris muscles
‘Minor Pedicle: Alar branches of superior labial artery
REGIONAL SOURCE: Facial artery
LENGTH: | to} mm
DIAMETER: 0.3 mm
LOCATION: A number of small vessels enter the lower partof this flap at the level of the
alarregion,
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