Triangular Excision.
Fig. 64.
Arrangement of Flaps.
Bürow introduced a method for closing over defects by sliding flaps in which he utilized the mobility of skin obtained by the excision of triangles of healthy skin. The results are exceedingly good, but, unfortunately, the sacrifice of skin affects its general use, inasmuch as patients can afford but little loss of healthy skin; besides, there is the objection of added scarring. The closing of a triangular defect by this method is shown in [Figs. 65 and 66], in which a is the triangular defect and b the triangle of healthy skin excised. The skin about the incisions is dissected up and the flaps are sutured into position, as shown in [Fig. 66].
Fig. 65.
Double Triangular Excision.
Fig. 66.