Advanced Dermatology, Pearland, Sugar Land, Katy, Texas.
Department of Dermatology, The University of Texas McGovern Medical School at Houston, Houston, Texas.
Dermatol Surg. 2020 Feb;46(2):180-185. doi: 10.1097/DSS.0000000000002018.
Post-Mohs reconstruction of distal nasal defects is challenging. Many repair options exist, each with advantages and disadvantages. Utilization of a Burow's graft in combination with manipulation of the underlying nasal cartilages with interdomal sutures is an underreported yet effective repair option.
To present the authors' experience with Burow's grafts facilitated by interdomal sutures for repair of nasal defects after Mohs micrographic surgery (MMS).
Patients who underwent repair with Burow's grafts and interdomal sutures from 2013 to 2017 at a single university were identified. Demographics, follow-up, and complications were recorded. Two independent, board-certified dermatologists evaluated photographs for cosmesis and alar symmetry.
Thirty-one patients were identified. A total of 5/31 patients (16.1%) experienced minor complications without permanent sequelae. A total of 4/31 (12.9%) patients underwent cosmetic revision. No incidences of pincushioning, nasal valve dysfunction, or graft necrosis occurred. Aesthetic ratings were good to excellent with mean visual analog score of 80.8. Alar symmetry was excellent.
A Burow's full-thickness skin graft facilitated by an interdomal suture to maintain nasal tip orientation and projection is an elegant repair technique for distal nasal oncologic defects with good to excellent aesthetic outcomes. It should be considered in the armamentarium for repair of distal nasal defects after MMS.
鼻远端缺损的 Mohs 术后重建颇具挑战。有许多修复选择，各有优缺点。Burrow 皮片联合鼻中隔间缝线操作，来重建鼻软骨，是一种报道较少但很有效的修复选择。
报告作者采用 Burrow 皮片联合鼻中隔间缝线修复 Mohs 显微外科术后鼻部缺损的经验。
从 2013 年至 2017 年，我们在单一大学识别出接受 Burrow 皮片和鼻中隔间缝线修复的患者。记录患者的人口统计学、随访和并发症情况。两位独立的、经委员会认证的皮肤科医生对照片进行美容和鼻翼对称性评估。
共识别出 31 名患者。共有 5/31 名患者（16.1%）发生轻微并发症，但无永久性后遗症。共有 4/31 名患者（12.9%）接受了美容修复。未发生鼻翼压塌、鼻阀功能障碍或皮片坏死。美容评估为良好至优秀，平均视觉模拟评分 80.8。鼻翼对称性良好。
采用鼻中隔间缝线保持鼻尖定向和突出度的 Burrow 全厚皮片是一种修复鼻远端肿瘤缺损的优雅技术，具有良好至优秀的美容效果。它应该成为 Mohs 术后修复鼻远端缺损的手段之一。
