Bilobed Flap
Facial and Face Reconstruction With Rhomboid Flap, Skin Cancer, Kevin Kavanagh
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  • Slide 1. Basal Cell Carcinoma of the Right Temple
  • Slide 2.  Rhomboid Flap DiagramA rhomboid flap is constructed. The maximum pull on the tissue is shown by the green arrow. Because of tissue pull, the dimensions of the rhomboid are shorter in one direction than the other.
  • Slide 3. Surgical Defect
  • Slide 4. Immediate Post-Op Appearance
  • Slide 5. Appearance Five Days Post Op
  • Slide 6. Appearance 2.5 Weeks Post Op
  • Slide 7. Appearance 3 Months Post Op
Rhomboid (Limberg) Flap for Face Reconstruction in
a Patient With Basal Cell Carcinoma

This flap is easy to construct and rotate into position.  It consists of two corners at 60 deg and two corners at 120 degrees.  The flap is outlined and then rotated into position.   An understanding of the direction of skin pull once the flap is placed into position is needed to prevent distortion of tissues.  View More on Flap
 

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