{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T11:32:55Z","timestamp":1793532775010,"version":"4.5.0"},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T00:00:00Z","timestamp":1586304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Reconstruction of head and neck cancer ablative defects is challenging. A modification of the nasolabial flap (islanded pedicled nasolabial flap [ipNLF]) is an easy and reliable option for reconstruction of small\u2010 to medium\u2010sized defects of the head and neck, especially in resource\u2010constrained and high\u2010volume centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>We present the retrospective analysis of 27 consecutive patients reconstructed with ipNLF at two high\u2010volume cancer centers, Homi Bhabha Cancer Hospital, Varanasi, India; and Army Hospital Research and Referral, New Delhi, India. The functional outcomes measured were duration of weaning of feeding and tracheotomy tubes and speech assessment (speech intelligible rating score [SIR]) postsurgery. Complications assessed were flap loss, orocutaneous fistula, donor site wound dehiscence, oral incompetence, and angle of mouth deviation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most common ablative defect was of the oral cavity (22 patients), followed by the oropharynx (4 patients) and hypopharynx (1 patient). The mean operating time for flap harvesting and insetting was 57.7\u2009minutes. The mean durations for postoperative feeding tube and tracheotomy removal were 10 and 5\u2009days, respectively. Twenty\u2010four subjects had SIR scores of I or II. None of the subjects had flap loss, orocutaneous fistula, or donor site wound dehiscence. Twenty\u2010five subjects had no oral incompetence, and 26 subjects had no or minimal angle of mouth deviation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is the largest series of ipNLF to date and emphasizes the versatility, reliability, reproducibility and excellent functional and acceptable cosmetic outcomes of this flap for the reconstruction of judiciously chosen head and neck ablative defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p><jats:bold>2C <jats:italic>Laryngoscope<\/jats:italic>, 130: 1967\u20131972, 2020<\/jats:bold><\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28662","type":"journal-article","created":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T15:33:12Z","timestamp":1586359992000},"page":"1967-1972","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Versatility and Reliability of Islanded Pedicled Nasolabial Flap in Head and Neck Cancer Reconstruction"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4179-9202","authenticated-orcid":false,"given":"Swagnik","family":"Chakrabarti","sequence":"first","affiliation":[{"name":"Department of Head and Neck Oncology Homi Bhabha Cancer Hospital  Varanasi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devendra Kumar","family":"Gupta","sequence":"additional","affiliation":[{"name":"Dept of ENT\u2010HNS Army Hospital Research and Referral  New Delhi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology Homi Bhabha Cancer Hospital  Varanasi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipti","family":"Daga","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology Homi Bhabha Cancer Hospital  Varanasi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7823-5334","authenticated-orcid":false,"given":"Aseem","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology Homi Bhabha Cancer Hospital  Varanasi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudhendu Shekhar","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Oncology Homi Bhabha Cancer Hospital  Varanasi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev","family":"Chugh","sequence":"additional","affiliation":[{"name":"Dept of ENT\u2010HNS Army Hospital Research and Referral  New Delhi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanajeet Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Dept of ENT\u2010HNS Army Hospital Research and Referral  New Delhi"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2013.03.001"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-42630"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2005.12.012"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200103000-00011"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(81)90372-X"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2001.3651"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2015.10.013"},{"key":"e_1_2_6_9_1","first-page":"320","article-title":"Nasolabial flap for tongue reconstruction. 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