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Related Experiment Videos

The modified rhomboid transposition flap in periocular reconstruction

S A Teske1, R C Kersten, M H Devoto

  • 1Barrett Center, University of Cincinnati Medical Center, Ohio 45267-0670, USA.

Ophthalmic Plastic and Reconstructive Surgery
|October 23, 1998
PubMed
Summary

A modified rhomboid flap technique for periocular reconstruction offers greater design flexibility and reduces tissue loss. This surgical approach yields excellent functional and cosmetic outcomes with minimal complications.

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Area of Science:

  • Plastic Surgery
  • Ophthalmology
  • Reconstructive Surgery

Background:

  • The rhomboid transposition flap is a standard technique in reconstructive surgery.
  • Traditional methods involve creating a rhomboid defect, potentially leading to increased tissue loss.

Purpose of the Study:

  • To evaluate a modified rhomboid flap technique for periocular reconstruction.
  • To assess the functional and cosmetic outcomes and complication rates of this modified approach.

Main Methods:

  • Retrospective chart review of patients undergoing periocular reconstruction between 1990 and 1995.
  • Analysis of cases utilizing the modified rhomboid flap, focusing on functional and cosmetic results and complications.

Main Results:

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  • The modified rhomboid flap was used in 101 of 232 patients (41.7%).
  • Complications occurred in 23% of cases, with 4% requiring further surgery.
  • Excellent or very good functional and cosmetic results were achieved in 96% of patients.

Conclusions:

  • The modified rhomboid flap technique provides enhanced versatility in flap design for periocular reconstruction.
  • This method minimizes normal tissue loss and achieves high rates of satisfactory functional and cosmetic results.