53 results match your criteria Rhombic Flaps


Rhomboid Flap.

Atlas Oral Maxillofac Surg Clin North Am 2020 Mar 2;28(1):17-22. Epub 2020 Jan 2.

Division of Plastic and Reconstruction Surgery, Department of Surgery, University of Nebraska Medical Center, 984125, Specialist surgery pavilion - Room 2018, Nebraska Medicine, Omaha, NE 68198-4125, USA; Division of OMFS-Head and Neck Surgery, Head and Neck Oncology and Microvascular Reconstructive Surgery, Department of Surgery, University of Nebraska Medical Center, Fred & Pamela Buffett Cancer Center, Omaha, NE, USA. Electronic address:

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Rhombic Flap: A Useful Flap for Small-to-Medium Defects of the Medial Canthus.

Dermatol Surg 2020 08;46(8):1035-1038

Dermatology Professionals, Inc., East Greenwich, Rhode Island.

Background: Medial canthal defects are frequently encountered yet present specific challenges for the reconstructive surgeon. Surgical repair in this area may inadvertently lead to canthal webbing, ectropion, and/or epiphora. The rhombic flap is a versatile workhorse in the reconstructive armamentarium for canthal defects. Read More

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[The Contralateral Double Transposition Flap].

Laryngorhinootologie 2019 Sep 9;98(9):608-611. Epub 2019 Sep 9.

Klinik und Poliklinik für Dermatologie und Allergologie, Hauttumorzentrum, Abteilung für Dermatochirurgie, Technische Universität München.

Classic transposition flaps (TF) consist of a single random pattern lobe, which is elevated (rotated) over an area of normal skin to reach the primary defect. Frequently mentioned modifications are the rhombic flaps according to Limberg and Dufourmentel as well as the unilateral multi lobed ("bilobed" and "trilobed") flaps 1, 2, 3, 4, 5, 6. The contralateral double TF presented here is a modification rarely mentioned in the literature 4. Read More

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September 2019

Simplified approach to the design of rhombic flaps.

J Am Acad Dermatol 2019 Jul 28;81(1):e7-e8. Epub 2018 Aug 28.

Department of Dermatologic Surgery, Silver Falls Dermatology, Salem, Oregon.

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Flap Basics I: Rotation and Transposition Flaps.

Facial Plast Surg Clin North Am 2017 Aug 30;25(3):313-321. Epub 2017 May 30.

Department of Otolaryngology, University at Buffalo, 1237 Delaware Avenue, Buffalo, NY 14209, USA. Electronic address:

In many cases of complex facial defects, because of advanced cutaneous malignancies, primary wound closure is impossible. In these instances, ideal results can be obtained through recruitment of adjacent tissue with the use of local flaps. Advances in local flap techniques have raised the bar in facial reconstruction; however, acceptable results to the surgeon and patient require high levels of planning and surgical technique. Read More

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Reply: Limberg Flap Is Rhombic, Not Rhomboid.

Plast Reconstr Surg 2016 09;138(3):566e-567e

Department of General, Visceral, and Vascular Surgery University of Jena Jena, Germany.

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September 2016

Reply: Limberg Flap Is Rhombic, Not Rhomboid.

Plast Reconstr Surg 2016 09;138(3):565e

Department of General, Visceral, and Vascular Surgery University of Jena Jena, Germany.

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September 2016

Limberg Flap Is Rhombic, Not Rhomboid.

Plast Reconstr Surg 2016 09;138(3):564e-565e

Aristotle University of Thessaloniki Thessaloniki, Greece.

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September 2016

Limberg Flap Is Rhombic, Not Rhomboid.

Plast Reconstr Surg 2016 Feb;137(2):494e-495e

Department of General, Visceral, and Vascular Surgery, University of Jena, Jena, Germany.

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February 2016

[Classic Limberg Flap Procedure for Treatment of a Sacrococcygeal Pilonidal Sinus Disease - Explanation of the Surgical Technique].

Zentralbl Chir 2015 Oct 20;140(5):473-5. Epub 2015 Oct 20.

Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Deutschland.

Introduction: Sacrococcygeal pilonidal sinus disease is frequently encountered in surgical practice. Besides excision only, the current pilonidal sinus guideline of the Association of the Scientific Medical Societies in Germany (AWMF-S3) also recommends plastic surgical procedures such as the cleft-lift operation described by Bascom, the Karydakis flap procedure and, due to the low recurrence rates, the Limberg flap procedure, for the treatment of this disease.

Indication: In our case we show the surgical procedure performed on a 23-year-old male patient, who was previously treated for an acute abscess-forming sacrococcygeal pilonidal sinus. Read More

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October 2015

From the rhombic transposition flap toward Z-plasty: An optimized design using the finite element method.

J Biomech 2015 Oct 24;48(13):3672-8. Epub 2015 Aug 24.

Department of Mechanical Engineering, University of Saskatchewan, Saskatoon, Canada SK S7N 5A9. Electronic address:

In this paper, an optimized design for rhombic transposition flaps is created using a reliable finite element model that assures convergence for stress and deformation results. Defining a general configuration for rhombic flaps, the surgical process of wound closure is simulated for a wide variety of patterns. To address the intrinsic uncertainties associated with modelling skin's mechanical properties, four different sets of material parameters are considered, to investigate statistical measures. Read More

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October 2015

Biomechanics of the rhombic transposition flap.

Otolaryngol Head Neck Surg 2014 Dec 10;151(6):952-9. Epub 2014 Oct 10.

Naval Medical Center, San Diego, Department of Otolaryngology, San Diego, California, USA.

Objective: To develop a computational model of cutaneous wound closures comparing variations of the rhombic transposition flap.

Study Design: A nonlinear hyperelastic finite element model of human skin was developed and used to assess flap biomechanics in simulated rhombic flap wound closures as flap geometric parameters were varied.

Setting: In silico. Read More

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December 2014

Design principles for transposition flaps: the rhombic (single-lobed), bilobed, and trilobed flaps.

Dermatol Surg 2014 Sep;40 Suppl 9:S43-52

Department of Dermatology, Hospital of the University of Pennsylvania, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania.

Background: When tension at a cutaneous defect is too great for primary closure or causes distortion of surrounding anatomy, transposition flaps provide a useful reconstruction option.

Objective: To review the tissue biomechanics of the rhombic, bilobed, and trilobed transposition flaps.

Materials And Methods: A systematic evaluation of a cutaneous defect is provided to guide a logical approach to the design and execution of transposition flaps. Read More

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September 2014

[Early hypertrophic scar after surgery on the nasal region: value of long-acting corticosteroid injections].

Authors:
J-M Amici

Ann Dermatol Venereol 2014 Jan 22;141(1):7-13. Epub 2013 Oct 22.

Service de dermatologie, hôpital Saint-André, 1, rue Jean-Burguet, 33000 Bordeaux, France. Electronic address:

Background: "Pincushioning" is a complication of post-surgical scarring following use of transposition flaps particularly when surgery is performed on the nasal region. The transposition flap technique is very useful for the repair of certain defects of the tip of the nose, the medial canthus or of the ala nasi. The aim of this study is to define the clinical characteristics of this scarring dystrophy, which we propose to call "early hypertrophy scarring", to clarify the nature thereof and to assess the efficacy of intralesional injection of corticosteroids at the first signs of hypertrophy. Read More

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January 2014

[Repairing severe cicatricial contracture deformity in web-space by kite-like incision combined with full-thickness skin grafting].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2012 Dec;26(12):1486-8

Department of Burns and Plastic Surgery, First Affiliated Hospital, General Hospital of Chinese PLA, Beijing, 100048, P.R.China.

Objective: To investigate the effectiveness of repairing severe cicatricial contracture deformity in the web-space by kite-like incision combined with full-thickness skin grafting.

Methods: Between June 2008 and September 2011, 31 patients (87 web-spaces) with severe cicatricial contracture deformities in the web-spaces were treated. There were 24 males and 7 females, aged 5-43 years (median, 22 years). Read More

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December 2012

Successes, revisions, and postoperative complications in 446 Mohs defect repairs.

Facial Plast Surg 2012 Jun 21;28(3):358-66. Epub 2012 Jun 21.

Division of Facial Plastic Surgery, The New York Eye & Ear Infirmary, 310 E. 14th St., New York, NY 10003, USA.

Objective: To determine factors predictive of complications and the need for adjunctive treatments repair of facial Mohs defects.

Methods: Charts of patients undergoing repair of facial defects from 2000 to 2010 in an academic facial plastic surgery practice were reviewed for patient medical history, tumor type, defect site and size, method of repair, postoperative sequelae, and adjunctive treatments.

Results: A total of 446 Mohs defect repairs were analyzed. Read More

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Assessing fundamental 2-dimensional understanding of basic soft tissue techniques.

J Surg Educ 2011 May-Jun;68(3):178-84. Epub 2011 Jan 21.

Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, University of Minnesota, Minneapolis, Minnesota 55455, USA.

Objective: To develop a written practical examination and scoring system for assessing trainee skills in basic soft-tissue techniques.

Design: A brief written practical examination was developed to assess the ability of trainees to sketch preoperative plans and postoperative results for common soft-tissue techniques: simple-excision, M-plasty, geometric broken line closure, Z-plasty, V-to-Y flap, and rhombic flap. A scoring system was developed to assign 0 to 5 points to each of 10 items on the examination for a total score of 0-50. Read More

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Use of Limberg flap for pilonidal sinus--a viable option.

J Ayub Med Coll Abbottabad 2009 Oct-Dec;21(4):31-3

Department of Surgery, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.

Background: Pilonidal sinus disease has been treated for a long time with conventional open excision technique. The rhomboid flap of Limberg is a transposition flap that has been pleaded for treatment of this condition.

Methods: We present our experience with the Limberg technique for both primary and recurrent pilonidal sinuses. Read More

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January 2011

Local flaps I: bilobed, rhombic, and cervicofacial.

Facial Plast Surg Clin North Am 2009 Aug;17(3):349-60

Department of Otolaryngology Head and Neck Surgery, University of California, Irvine, USA.

This article is the first in a series focusing on the reconstruction of defects of the head and neck created by the resection of a skin cancer. This series begins with a detailed description of specific types of local flaps, and is followed by articles emphasizing the options for reconstruction by anatomic site. The surgical technique for three workhorse flaps of the face are described: the bilobed flap, rhombic flap, and cervicofacial flaps. Read More

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Reconstruction following excision of sacrococcygeal pilonidal sinus with a perforator-based fasciocutaneous Limberg flap.

J Plast Reconstr Aesthet Surg 2010 Jul 18;63(7):1176-80. Epub 2009 Jul 18.

Plastic and Reconstructive Surgery Unit, Minia University, Minia City, Egypt.

Unlabelled: Many procedures have been proposed for the management of sacrococcygeal pilonidal sinus disease. The aim of this work is to evaluate the superiorly based flap (used before for reconstruction of pressure sore) for reconstruction after excision of sacrococcygeal pilonidal sinus.

Patients And Methods: Between January 2004 and February 2007, 25 male patients of ages between 14 and 29 years(median age: 23 years), who had recurrent pilonidal sinus, underwent surgical treatment by the Limberg flap technique. Read More

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The tissue efficiency of common reconstructive design and modification.

Authors:
James O Barlow

Dermatol Surg 2009 Apr;35(4):613-28

Beatrice Keller Clinic, Sun City, Arizona 85375, USA.

Background: Facial reconstructive techniques are capable of restoring a normal anatomic appearance despite the tissue loss resulting from skin cancer removal. Because none of these techniques recreate the lost tissue, most of these techniques require the removal of additional normal tissue in the form of Burow's triangles to achieve this goal.

Objective: To analyze the quantity and potential variability of redundant tissue loss encountered during the use of conventional reconstructive techniques through the calculation of tissue efficiency. Read More

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Three rhombic flaps for repair of an upper lip wound.

Dermatol Surg 2009 Mar;35(3):557-61

Department of Dermatology, University of Southern California, USA.

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Three rhombic flaps for repair of an upper lip wound.

Dermatol Surg 2009 Jan 6;35(1):115-9. Epub 2008 Dec 6.

Department of Dermatology, University of Southern California, USA.

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January 2009

Rhombic flap for cheek reconstruction.

Ear Nose Throat J 2008 Jun;87(6):320-1

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.

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The square flap method for cleft palate repair.

Cleft Palate Craniofac J 2007 Nov;44(6):579-84

Department of Plastic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

Objective: To introduce a new surgical technique for repair of cleft palate using the square flap method.

Design And Setting: A retrospective analysis of prospectively collected data.

Patients And Methods: The procedure was performed from 1995 to 2004 in 21 males and 16 females with cleft palates of different types; the patients had a median age of 6. Read More

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November 2007

Salvage of exposed implantable cardiac electrical devices and lead systems with pocket change and local flap coverage.

Ann Plast Surg 2007 Jul;59(1):26-9; discussion 30

Departments of Surgery, Divisions of Plastic Surgery, Mount Sinai School of Medicine, New York, NY, USA.

Erosion and exposure of pacemaker (PPM) and implantable cardiac defibrillator (ICD) devices are potentially dire complications, which have classically required the removal of the entire generator and lead systems. This study evaluates a series of cases wherein debridement, irrigation, pocket change, and local flap coverage were used for the successful salvage of indwelling leads after exposure and infection of implantable cardiac defibrillator devices. Patients with skin erosion, infection, and/or exposure of prepectoral infraclavicular cardiac defibrillator devices were treated over a 23-month period between June 2004 and April 2006. Read More

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Nasal tip wound repair using a rhombic transposition flap with a double Z-plasty at its base.

Dermatol Surg 2006 Jul;32(7):945-7

Department of Dermatology, University of Southern California, School of Medicine, Los Angeles, CA, USA.

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Bilateral rhombic flaps for defects on the nasal dorsum and supra-tip.

Dermatol Surg 2003 Nov;29(11):1163-5

Center for Laser and Dermatologic Surgery, Pomona, New York, USA.

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November 2003