Applications of Burow's Grafts in the Reconstruction of Mohs Micrographic Surgery Defects.
Dermatol Surg
; 43(4): 512-520, 2017 Apr.
Article
en En
| MEDLINE
| ID: mdl-28060172
ABSTRACT
BACKGROUND:
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.OBJECTIVE:
To describe the applications of the Burow's graft technique for the repair of defects after Mohs micrographic surgery.METHODS:
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.RESULTS:
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.CONCLUSION:
Burow's grafts are reproducible, aesthetic, and useful reconstructive choices for a variety of surgical wounds.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neoplasias Cutáneas
/
Colgajos Quirúrgicos
/
Neoplasias Faciales
/
Cirugía de Mohs
/
Trasplante de Piel
/
Técnicas de Cierre de Heridas
Tipo de estudio:
Observational_studies
Límite:
Humans
Idioma:
En
Revista:
Dermatol Surg
Asunto de la revista:
DERMATOLOGIA
Año:
2017
Tipo del documento:
Article