title: The midline-based nasolabial transposition (MNT) flap: an original single-stage technique for nasal tip reconstruction.
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.
  
  
  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.
authors.affiliation: From the *Department of Plastic Surgery, Valais Hospital, Sierre, Switzerland; and †Department of Plastic Surgery, Royal Free Hospital, Hampstead, London, England, United Kingdom.
authors.forename: Matthieu
authors.initials: M
authors.lastname: Beustes-Stefanelli
authors.forename: Greg
authors.initials: G
authors.lastname: O'Toole
authors.forename: Pierre
authors.initials: P
authors.lastname: Schertenleib
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D008046:Lip / Q000601:surgery*; D008297:Male; D009666:Nose / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*; D000077195:Squamous Cell Carcinoma of Head and Neck; D013524:Surgical Flaps; D016896:Treatment Outcome