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The midline-based nasolabial transposition (MNT) flap: an original single-stage technique for nasal tip
Matthieu Beustes-Stefanelli1, Greg O'Toole, Pierre Schertenleib
1From the *Department of Plastic Surgery, Valais Hospital, Sierre, Switzerland; and †Department of Plastic Surgery, Royal Free Hospital, Hampstead, London, England, United Kingdom.
Background:
Nasolabial flaps based on the lateral side of the nose for the reconstruction of lateral nasal defects in a single-stage procedure have been described. Similarly, in midline defects, nasolabial flaps can be used but a 2-stage procedure is classically required. The Midline-based Nasolabial Transposition (MNT) flap is presented as a new single-stage procedure for nasal tip reconstruction.
Materials And Methods:
Between 2009 and 2011, an MNT flap was used as a single-stage procedure in 3 cases of large nasal defects of the tip where the forehead flap was either contraindicated or rejected as an option by the patient.
Results:
There were no complications and a satisfactory aesthetic result was achieved in all cases.
Conclusions:
The MNT flap is a new single-stage procedure for large nasal tip defects and as such represents an interesting alternative to the classical 2-stage forehead and nasolabial flaps, especially in elderly patients.
