Combined Linear Closure and Burow's Graft for a Dorsal Nasal Defect

Daniel S. Behroozan, Leonard H. Goldberg

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter discusses a case where a large defect on the dorsal nose was created by tumor excision for a patient with a history of facial skin cancer. Perhaps the easiest option in this situation would be a full-thickness skin graft (FTSG). In this case, the large dorsal nasal defect following Mohs micrographic surgery could not be closed primarily despite wide lateral undermining. The doctors chose to reconstruct this defect with a linear closure combined with a local Burow's (dog-ear) graft. This technique is demonstrated in this chapter. Large defects of the nose can be particularly challenging, but there are a vast number of reconstructive options for repair. This case highlights several important principles in caring for patients with skin cancer. On tight skin or in areas where tissue conservation needs to be at a premium, a Burow's graft combined with a partial closure can be an ideal solution.

Original languageEnglish (US)
Title of host publicationReconstructive Conundrums in Dermatologic Surgery
Subtitle of host publicationThe Nose
Number of pages6
ISBN (Electronic)9781118294956
ISBN (Print)9781118272329
StatePublished - May 5 2014


  • Burow's graft
  • Dorsal nasal defect
  • Full-thickness skin graft (FTSG)
  • Linear closure
  • Mohs micrographic surgery
  • Skin cancer

ASJC Scopus subject areas

  • Medicine(all)


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