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2024, Number 1

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Dermatología Cosmética, Médica y Quirúrgica 2024; 22 (1)

Limberg flap in dermatology. Review article

Medina ENT, López FDA

Language: Spanish
References: 25
Page: 75-81
PDF size: 288.98 Kb.


ABSTRACT

Limberg flap or best known as rombic flap (rhomboidal) is a useful therapeutic tool in dermatology reconstruction. This flap has multiples applications to reconstruct primary cutaneous defects with zones of residual cutaneous perilesional laxity. The rhombic flap (Limberg) is an irrigated random cutaneous pattern flap with opponent obtuse angles and straight angles of transposition useful in cutaneous wide defects. The laxity in the perilesional residual defect is especially important to guide the transposition vector. The knowledge of the aesthetic units, its interfaces and the adherence zones determined by the retention ligaments, are keystones in the cutaneous reconstruction of the face with the rombic flap. Closing of primary defects can vary according with the versatility of the transposition of rhombic flap with even four varieties of rotation. The variations of transposition in different type of rhombic, circular, quadrilateral, hexagonal defects; as well as the actual modifications of the rhombic flap must be considered in the planning of complex cutaneous reconstruction. The understanding of biomechanics in the design and the transposition of the rhombic flap are paramount to prevent postoperative complications. The rhombic flap is a useful and safe complementary therapeutic tool in secondary defects due to cutaneous resections in surgical dermatology.


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