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Updated: Jun 8, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Modifying the Burow's triangles of traditional transposition flaps for the repair of adjacent nasal defects
1Beatrice Keller Clinic, Sun City West, Arizona 85375, USA. jamesobarlow@gmail.com
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.
