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Journal of the American Academy of Dermatology
Volume 63, n° 5
pages 836-841 (novembre 2010)
Doi : 10.1016/j.jaad.2010.01.029
Dermatologic Surgery

Modifying the Burow’s triangles of traditional transposition flaps for the repair of adjacent nasal defects
 

James O. Barlow, MD
Private practice, Beatrice Keller Clinic, Sun City West, Arizona 

Reprint requests: James O. Barlow, MD, Beatrice Keller Clinic, 14506 W Granite Valley Dr, Suite 206, Sun City West, AZ 85375.
Abstract
Background

Adjacent defects are commonly encountered during Mohs micrographic surgery for nasal skin cancers and often present a formidable reconstructive challenge.

Objective

This article will describe similar modifications of both the bilobed and nasolabial transposition flaps’ Burow’s triangles that allow for the repair of two adjacent defects of the distal nose using a single flap.

Methods

This is a report of two similar reconstructive cases after Mohs micrographic surgery requiring the repair of adjacent nasal defects.

Results

Both cases demonstrate the feasibility of this technique.

Limitations

This technique is based on two case reports.

Conclusions

Traditional transposition flaps’ Burow’s triangles can be effectively modified for the repair of properly selected adjacent wounds of the distal nose.

The full text of this article is available in PDF format.

Key words : adjacent wounds, bilobed, flap, nasolabial, reconstruction, transposition



 Funding sources: None.
 Conflicts of interest: None declared.



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