Related Experiment Videos
Modified rhombic flap for closure of circular or irregular defects
1Karrinyup Center, Perth, Australia.
Journal of Cutaneous Medicine and Surgery
|November 21, 1998
Summary
A modified rhombic flap effectively closes circular or irregular wounds, eliminating dog-ear formation common with previous techniques. This versatile surgical method offers a safe and practical solution for wound repair.
Area of Science:
- Plastic Surgery
- Wound Reconstruction
Background:
- Rhombic flaps, including Limberg and Quaba/Sommerlad types, are used for wound closure.
- The Quaba/Sommerlad flap, while effective, has a reported 22% incidence of dog-ear formation.
Purpose of the Study:
- To present a modified rhombic flap for circular/irregular wounds.
- To minimize dog-ear formation and compare flap rationale.
Main Methods:
- A modified 60-degree transposition flap was designed, slightly smaller than the defect.
- A standing-cone was removed from the hinge-point, and a larger flap was used.
- 104 cases were evaluated clinically and photographically, with 6-month follow-up.
Main Results:
- No instances of dog-ear formation were observed.
- Complications were minimal across all cases.
- The flap proved simple, practical, and adaptable to various wound shapes and sites.
Conclusions:
- The modified rhombic flap successfully addresses the primary complication of the Quaba/Sommerlad flap.
- This technique is a versatile, safe, and effective method for wound repair.
- It is particularly suitable for closure after Mohs' excision surgery.