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Modified Dufourmentel flap, easy to design and tailor to the defect
Keisuke Imafuku1, Hiroo Hata1, Yasuyuki Yamaguchi1
1Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
The Journal of Dermatology
|September 8, 2016
Summary
Newly modified rhomboid flaps simplify closing skin defects. These geometric flaps reduce tension and minimize dog-ears, making them easy for surgeons to draw and use effectively.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
Background:
- Closing skin defects is a critical surgical challenge.
- Rhomboid flaps, like Limberg and Dufourmentel flaps, are versatile but prone to dog-ears.
- Existing modified flaps often feature complex curves, hindering trainee adoption.
Observation:
- Traditional rhomboid flaps present challenges with dog-ear formation.
- Previous modifications introduced complex, curvilinear designs that are difficult to reproduce.
- A need exists for simplified, geometrically sound flap designs.
Findings:
- A novel rhomboid flap modification based on the Dufourmentel flap is introduced.
- This modification omits the superior portion of the diamond, reducing skin tension.
- The new flaps are geometric, simplifying drawing and application for surgeons of all levels.
Implications:
- Reduced tension and minimized dog-ears improve surgical outcomes in skin defect closure.
- The geometric nature of the new flaps enhances ease of use, particularly for trainees.
- This innovation offers a promising, versatile option for diverse skin defect reconstructions.
