We have located links that may give you full text access.
Modified rhombic flap for closure of circular or irregular defects.
Journal of Cutaneous Medicine and Surgery 1998 October
BACKGROUND: Rhombic flaps include the Limberg and the Quaba/Sommerlad flaps. The latter was described as successful placement of "a square peg in a round hole" but reported a 22% incidence of dog-ear formation complicating the postoperative course of surgery.
OBJECTIVE: To demonstrate the clinical use and compare and contrast the rationale of a modified rhombic flap for closure of wounds of circular or irregular shape that aims to minimize dog-ear formation.
METHODS: This closure is essentially a 60 degrees transposition flap applied to a round or irregularly shaped defect. The flap is made slightly smaller than the defect. A modification of the Quaba/Sommerlad flap was made whereby a standing-cone was removed from the hinge-point of the base of the flap during the procedure and a greater flap size was used. A series of 104 cases was assessed by photographic and clinical record perioperatively and at 6 months of postoperative follow-up.
RESULTS: No dog-ear formation was found in any of the cases. Other complications were minimal. This flap has been found to be simple to design, and also practical with a wide variety of wound shapes and anatomic sites successfully closed.
CONCLUSION: This modification successfully eliminates the most common complication of the Quaba/Sommerlad flap. The modified rhombic flap is a very versatile, safe method, of wound repair and is particularly well suited to Mohs' excision surgery.
OBJECTIVE: To demonstrate the clinical use and compare and contrast the rationale of a modified rhombic flap for closure of wounds of circular or irregular shape that aims to minimize dog-ear formation.
METHODS: This closure is essentially a 60 degrees transposition flap applied to a round or irregularly shaped defect. The flap is made slightly smaller than the defect. A modification of the Quaba/Sommerlad flap was made whereby a standing-cone was removed from the hinge-point of the base of the flap during the procedure and a greater flap size was used. A series of 104 cases was assessed by photographic and clinical record perioperatively and at 6 months of postoperative follow-up.
RESULTS: No dog-ear formation was found in any of the cases. Other complications were minimal. This flap has been found to be simple to design, and also practical with a wide variety of wound shapes and anatomic sites successfully closed.
CONCLUSION: This modification successfully eliminates the most common complication of the Quaba/Sommerlad flap. The modified rhombic flap is a very versatile, safe method, of wound repair and is particularly well suited to Mohs' excision surgery.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app