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Published on: December 5, 2025
Subcutaneous pedicle limberg flap for facial reconstruction
Li Jun-Hui1, Xing Xin, Ouyang Tian-Xiang
1Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, People's Republic of China. lissot@163.com
Summary
The subcutaneous pedicle Limberg flap effectively reconstructs medium-sized facial defects, avoiding the dog-ear complication of traditional methods. This technique offers satisfactory functional and cosmetic results for facial skin reconstruction.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
Background:
- Traditional Limberg flap transposition can result in dog-ear deformities, impacting cosmetic outcomes.
- The Limberg flap with a subcutaneous pedicle offers an innovative solution for facial defects, mitigating dog-ear formation.
Purpose of the Study:
- To evaluate the efficacy of the subcutaneous pedicle Limberg flap for reconstructing medium-sized facial skin defects.
Main Methods:
- The subcutaneous pedicle Limberg flap was utilized in 17 patients (19 flaps) between August 2002 and June 2004.
- Reconstruction addressed facial skin defects ranging from 2.0 x 1.9 cm to 5.0 x 4.5 cm.
Main Results:
- All flaps demonstrated successful survival with primary wound healing.
- Postoperative follow-up, ranging from 1 to 22 months, indicated both functional and cosmetic satisfaction.
Conclusions:
- The subcutaneous pedicle Limberg flap presents a viable and competitive option for repairing medium-sized facial skin defects.
- This technique achieves favorable functional and aesthetic results, improving upon traditional methods.