Review of Rhomboid Flaps and Their Modern Modifications

Page 16 REVIEW OF RHOMBOID FLAPS AND THEIR MODERN MODIFICATIONS Figures 1a 1c. Steps employed in the Limberg flap. A B C Introduction Following the formation of a surgical defect, a closure type is chosen to suit the surrounding tissue characteristics and defect size. While primary closure is often the first choice, simple suturing may not be sufficient to appropriately close the defect. Size is the most common deterrent from primary closure, where the long or short axes of the defect are either too long or too wide, respectively.1,2 Rhomboid flaps maintain continuity of texture, color, and vascularity with the surrounding tissue, eliciting the most successful aesthetic outcome.3 Rhomboid flaps are most commonly used for tumor resection in head and neck surgeries but are widely applicable in fields such as general and plastic surgery, ophthalmology, and otolaryngology.1,3