Benoit Anastasia, Leach Brian C, Cook Joel
*All authors are affiliated with the Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Dermatol Surg. 2017 Apr;43(4):512-520. doi: 10.1097/DSS.0000000000001015.
Surgical defects in anatomically challenging locations, such as near free margins or crossing cosmetic subunits, may present reconstructive challenges to the dermatologic surgeon. For selected defects, Burow's grafts may produce functional and aesthetic results in a single operative session.
To describe the applications of the Burow's graft technique for the repair of defects after Mohs micrographic surgery.
An institutional review board-approved retrospective database review of surgical defects repaired with Burow's grafting after Mohs micrographic surgery at the Medical University of South Carolina was performed. The general technique of Burow's grafting is described, emphasizing proper graft sizing and direction of tension vectors. Varying anatomic locations and defect types are presented, with site-specific considerations and operative photographs.
Burow's grafting provides ideal color and textural match, preserves subunit boundaries, results in a compact single-site wound, and may avoid complications of alternate repair choices. The tension vectors produced in closing the graft's harvest site may be designed to prevent distortion of free margins. Burow's grafting may be combined with hinge flaps to repair deep or avascular defects.
Burow's grafts are reproducible, aesthetic, and useful reconstructive choices for a variety of surgical wounds.
在解剖结构复杂的部位，如靠近游离边缘或跨越美容亚单位处的手术缺损，可能会给皮肤科外科医生带来重建方面的挑战。对于某些特定的缺损，Burow皮片移植术可在一次手术中实现功能和美观效果。
描述Burow皮片移植技术在Mohs显微外科手术后缺损修复中的应用。
对南卡罗来纳医科大学Mohs显微外科手术后采用Burow皮片移植修复的手术缺损进行了机构审查委员会批准的回顾性数据库审查。描述了Burow皮片移植的一般技术，重点强调了皮片的合适大小和张力向量方向。展示了不同的解剖位置和缺损类型，并给出了特定部位的注意事项和手术照片。
Burow皮片移植可实现理想的颜色和质地匹配，保留亚单位边界，形成紧凑的单部位伤口，并可避免其他修复选择的并发症。在关闭皮片供区时产生的张力向量可设计成防止游离边缘变形。Burow皮片移植可与铰链皮瓣联合使用，以修复深部或无血管缺损。
Burow皮片对于各种手术伤口来说，是可重复、美观且有用的重建选择。
