Clinical Applications of the Island-Pedicled Nasolabial Musculocutaneous Flap

Abstract

The island-pedicled musculocutaneous nasolabial flap (MNLF) represents a new generation of nasolabial flaps that address the problems of a bulky and immobile pedicle. The intention of this report is to present our experience with the MNLF for reconstruction of large nasal defects involving the columella, septum, and nasal ala. The charts and clinical photographs of eight patients who underwent nasal reconstruction using the MNLF were reviewed. There were no flap failures or partial necroses. All patients were noted to have a symmetric facial appearance at rest and with expression postoperatively. Using the MNLF, it is possible to reconstruct the entire columella and more extensive defects that may also include the membranous and cartilaginous septum, in a single stage. Repair of these defects was previously beyond the capabilities of the nasolabial flap.