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

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.