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  • Title: The midline-based nasolabial transposition (MNT) flap: an original single-stage technique for nasal tip reconstruction.
    Author: Beustes-Stefanelli M, O'Toole G, Schertenleib P.
    Journal: Ann Plast Surg; 2015 Apr; 74(4):426-31. PubMed ID: 24025673.
    Abstract:
    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.
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