One-stage reconstruction of 2 adjacent nasal defects: Novel nasal alar crease flap and removal of Burow triangle Kyung Duck Park, MD, Byung Cheol Park,

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Presentation transcript:

One-stage reconstruction of 2 adjacent nasal defects: Novel nasal alar crease flap and removal of Burow triangle Kyung Duck Park, MD, Byung Cheol Park, MD Journal of the American Academy of Dermatology Volume 76, Issue 3, Pages e93-e94 (March 2017) DOI: 10.1016/j.jaad.2016.09.013 Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A, Two surgical defects at 1.0 × 0.8 cm and 2.6 × 2.4 cm in size involving the nasal dorsum, part of the nasal side wall, cheek, and nasal alar area were closed after Mohs micrographic surgery. B, Design of Burow triangle including the upper small defect and the upper half of the lower large defect. C, Preliminary side-to-side key suture of the removed Burow triangle showing the possibility of simultaneous reconstruction of the upper smaller defect and part of the lower larger defect, which became half of its original size with an oval shape. Journal of the American Academy of Dermatology 2017 76, e93-e94DOI: (10.1016/j.jaad.2016.09.013) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 A, Relative small transposition flap along the nasal alar crease could be performed because the original lower larger defect was changed to a lenticular small defect after preliminary side-to-side key suture of Burow triangle. B, All suture lines were located within the natural skin folds or along the cosmetic unit boundaries as close as possible. C, Good cosmetic and functional results were shown 8 months after the operation. Journal of the American Academy of Dermatology 2017 76, e93-e94DOI: (10.1016/j.jaad.2016.09.013) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions