Abstract
Postoperative defects of the distal aspect of the nose are a common challenge for reconstructive surgeons. Options for the defect depicted in Fig. 5 of the examination include a bilobed transposition flap, bilateral rotation flaps from the dorsal aspect of the nose (i.e., Peng flap), a full-thickness skin graft from a postauricular donor site, and a full-thickness skin graft from a superior Burow's triangle after partial primary closure (i.e., Burow's graft). Except in a patient with a broad nasal tip or with a small defect, primary closure is often impossible.
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