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The versatility of double-Z rhomboid plasty
M Ardenghy1, J Hochberg, V Fuzii
1Plastic Surgery and Burns Section, Santa Casa de Misericórdia of São José do Rio Preto, São Paulo, Brazil.
Annals of Plastic Surgery
|May 1, 1994
Summary
The double-Z rhomboid plasty offers versatile wound closure for skin tumor excisions on the face and extremities. This technique minimizes distortion compared to other methods, enhancing reconstructive outcomes.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Skin tumor resections often result in excisional wounds requiring closure.
- Various reconstructive techniques exist, each with potential for distortion.
Purpose of the Study:
- To demonstrate the versatility of the double-Z rhomboid plasty for facial and extremity wound closure.
- To compare the degree of distortion caused by different closure methods.
Main Methods:
- Foam rubber models were used to compare distortion from double-Z rhomboid, simple rhomboid, and direct closure.
- The original Cuono design was evaluated against Katoh's modifications.
Main Results:
- The double-Z rhomboid plasty showed reduced distortion compared to simple rhomboid and direct closure in models.
- Specific indications and technical aspects for optimal results were reviewed.
Conclusions:
- The double-Z rhomboid plasty is a versatile and effective technique for closing skin tumor excision defects.
- Understanding its technical nuances maximizes reconstructive success and minimizes distortion.