Limberg flap is called Rhombic (or rhombus-shaped) flap based on the shape of the defect and also the flap. It’s sometimes wrongly referred to as a Rhomboid flap– check out the tutorial below for more.
Definition
Limberg’s flap is a geometric (rhombic) transposition flap in which the skin laxity adjacent to the defect is utilized to close the donor site primarily.
Let’s clearly understand the definition above, learn to design and plan a Limberg flap and know more about its modifications (like Dufourmentel flap, Webster flap) in the tutorial below.
Video tutorial
Timestamps:
- 00:00 Introduction
- 00:14 Definition
- 01:08 Biogeometry
- 02:26 Flap design
- 05:34 Flap planning- w.r.t. RSTL, LME
- 07:45 Advantages, disadvantages
- 09:04 Clinical uses
- 09:33 Multi-flap variations
- 09:55 Modifications- Dufourmentel, Webster…
Limberg flap- Design & Modifications [illustrations]
Below are the illustrations of the Rhombic flap design, and its modifications (more of which we can see in the video above):
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References (for further reading):
- Limberg AA. Modern trends in plastic surgery. Design of local flaps. Mod Trends Plast Surg. 1966;2:38-61.
- Borges AF (Ed). Elective Incisions and Scar Revision. Boston, MA: Little, Brown and Company; 1973. p. 1-15.
- Dufourmentel C. Le lambeau en L pour losange (LLL). Interview de Claude Dufourmentel par E. Achard [The L-shaped flap for lozenge-shaped defects. Interview with Claude Dufourmentel by E. Achard]. Ann Chir Plast. 1979;24(4):397-9. French.
- Fee WE Jr, Gunter JP, Carder HM. Rhomboid flap principles and common variations. Laryngoscope. 1976 Nov;86(11):1706-11.
- Webster RC, Davidson TM, Smith RC. The thirty degree transposition flap. The Laryngoscope. 1978;88(1):85-94.
- Macneal P, Adlard RE. Rhombic flaps. In: StatPearls. StatPearls Publishing; 2021.
- Gunter J. Rhombic flaps. Facial plast Surg. 1983;1(01):69-73.
Tutorials & tips in Plastic Surgery
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