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KMID : 0358819770040020069
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1977 Volume.4 No. 2 p.69 ~ p.74
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The Use of Limberg Flap and Dufourmentel Flap
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Abstract
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Many elliptical defects which surgeons create after excision of skin lesions can be closed directly but as the lesion increase in size, the long axis of the ellipse may be too long for the local anatomy or cosmetic result and the short axis may be too wide to permit direct sutures. In such cases, surgeons can create rhomboid defects instead of elliptical defects and use the Limberg flap or Dufourmentel flap as a local flap.
One advantage of the Limberg flap is the simplicity of the design, all angles being 60° or 120°, all sides being equal. Dufourmentel flap is more difficult to learn and to plan than the Limberg flap but in closing defects with the acute angle of which lies between 60° and 90°, Dufourmentelflap is of use.
The design and application of the limberg & Dufourmentel flap will be described separately.
Author applied these flaps for the rhomboid defects after excision of the basal cell carcinoma on the cheek, decubitus ulcer on the sacrococcygeal area and skin ulcer on the lower anterior leg and the results are reported.
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