Extended nasolabial flap in oral submucous fibrosis - our modification.

Nasolabial Flaps are the most popular and commonly used flap in reconstructing mucosal defect left by fibrous band excision in developing countries like India where free flap expertise is not easily available and affordable by poor patients. Extended nasolabial flaps have been used in oral sub mucous fibrosis to cover mucosal defect. Normally these flaps are not wide enough to cover the mucosal defect left by fibrous band excision. Our modification utilises the extended nasolabilal flap to cover the wide mucosal defect in young patients by modified insetting of these flaps. I hope this technical modification will be useful to surgeons managing oral sub mucous fibrosis in developing countries or when free flap is not possible.