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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.

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


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.


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


Both cases demonstrate the feasibility of this technique.


This technique is based on two case reports.


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.

© 2010  American Academy of Dermatology, Inc.@@#104156@@
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