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. 2011 Apr;43(1):1-8.
doi: 10.5152/eajm.2011.01.

Versatile use of rhomboid flaps for closure of skin defects

Osman Enver Aydin  1 , Onder Tan  1 , Said Algan  1 , Selma Denktas Kuduban  1 , Hakan Cinal  1 , Ensar Zafer Barin  1
Affiliations

Versatile use of rhomboid flaps for closure of skin defects

Osman Enver Aydin et al. Eurasian J Med. 2011 Apr.

Abstract
in English, Turkish

Objective: The aim of this study is to present our clinical experience with rhomboid flaps.

Materials and methods: Twenty-four patients who were operated on between January 2006 and October 2010 were included in the study. All defects were reconstructed using rhomboid flaps.

Results: Twenty-four patients were operated on for various reasons, and 26 rhomboid flaps were performed. Eleven of the 24 cases were male, and the median age of participants was 47.5 years. Eight cases were operated on under general anesthesia, and 13 were locally anesthetized; the remaining cases were operated on under regional anesthesia. In 17 cases, the defect was due to a benign or malignant tumor excision, and five cases were operated on due to burn contracture. There were no occurrences of partial or total flap necrosis or hematoma in our series.

Conclusion: Our series indicates that rhomboid flaps can be safely used to reconstruct small to moderately sized skin defects.

Amaç: Çalışmanın amacı rhomboid fleplerle elde ettiğimiz deneyimlerin sunulmasıdır.

Gereç ve yöntem: Ocak 2006 ve Ekim 2010 arasında opere edilen 24 hasta çalışmaya dahil edildi. Tüm defektler rhomboid fleple rekonstrükte edilmişti.

Bulgular: Çeşitli nedenlerle opera edilen hastalarda 26 romboid flep uygulandı. 24 hastanın 11’I erkekti. Medyan yaş 47.5 idi. 8 hastada genel, 13 hastada lokal anestezi kullanılırken diğer hastalara bölgesel anestezi verilmişti. 17 hastada benign ya da malign tumor eksizyonu nedeniyle rekonstrüksiyon yapıldı. 5 olgu yanık kontraktürüne bağlı opera edilmişti. Seride kısmi ya da tam flep nekrozu ve hematom görülmedi.

Sonuç: Serimizden elde edilen sonuçlar, orta veya küçük boy cilt defektlerin rekonstrüksiyonunda romboid fleplerin güvenle kullanılabileceğini göstermektedir.

Keywords: Dufourmentel flap; Limberg flap; Rhomboid flap.

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Figures

Figure 1.
Figure 1.
Reconstructive ladder, procedures ranging from simplest to complex.
Figure 2.
Figure 2.
A) Limberg flap design. For any defect there are 4 possible flaps. B) Point A corresponds to E, B corresponds to D’, D corresponds to F.
Figure 3.
Figure 3.
Dufourmentel flap design. Note alpha angle ranges between 60–75°.
Figure 4.
Figure 4.
A) BCC on left temple. Rhomboid flap designed. B) BCC excised and flap transposed from cheek.
Figure 5.
Figure 5.
A) Malignant melanoma of the right cheek. Flap designed. B) Tumor excised and flap elevated. C) Flap transposed and sutured. D) Six months after the operation.
Figure 6.
Figure 6.
A) Medial canthal defect after nevus excision. Flap designed from the glabella. B) Flap transposed and sutured. C) Six months after the operation.
Figure 7.
Figure 7.
A) BCC on the left temple. Double flap designed. B) Flaps transposed and sutured. C) Eighteen months after operation.
Figure 8.
Figure 8.
A) Malignant melanoma of the left cheek. Flap designed. B) Tumor excised and flap elevated. C) Flap transposed and sutured. D) Six months after operation.
Figure 9.
Figure 9.
A) Defect on the distal thigh. B) Flap transposed and sutured.
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