A superiorly based, externally pedicled nasolabial flap for the repair of complex nasal tip defects

The reconstruction of nasal tip defects can often be quite challenging. For small or superficial defects, primary closure, secondary healing or skin grafting are common options. For larger, full thickness defects with exposed cartilage, local or distant flaps are usually required. An experience using a superiorly based, externally pedicled nasolabial flap for full thickness nasal tip defects in six patients is described. The reconstruction is performed in three stages, allowing for aggressive thinning and debulking of the flap at the time of final insetting. The flap has good excursion with a wide arc of rotation, allowing it to be used in a variety of complex nasal tip defects. Patient satisfaction with the eventual outcome has been excellent.