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

Abstract

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.