Sunday, 28 December 2025

Principles and Clinical Applications of the Limberg Rhomboid Flap in Head and Neck Reconstruction| Chapter 3 | Medical Science: Updates and Prospects Vol. 3


The rhomboid flap, introduced by Professor A. A. Limberg of Leningrad, is commonly known as the Limberg flap. It is an interesting procedure for skin movement in which a rhomboid defect is created and then closed with a rhomboid-shaped flap of a similar size. The design is basically a parallelogram with two angles of 120° and two of 60°, although these can be modified to accommodate the geometry of the lesion or defect. The surgeon’s goal is to avoid unsightly scars while using the simplest, most effective reconstructive approach. The present chapter demonstrates the versatility of the rhomboid flap in the head and neck region. The first case is a 28­year­old lady presenting with an extra-oral draining sinus in the left submandibular region secondary to an infected left mandibular first molar. The second case is a 35­year­old lady presenting with the complaint of an ugly-looking growth over the skin of the left angle region of the mandible. These two cases, one of dentoalveolar infection and the other of cervicofacial actinomycosis, are presented, in which the unsightly scars that could have been produced by excision of the lesion alone have been avoided by the use of a rhomboid flap. The study concluded that the rhomboid flap is a very versatile and robust flap, easy to master and practice, that can be tailored to suit the surgeon’s needs.

 

 

Author(s) Details

Abdul Ahad G Khan
Department of Oral and Maxillofacial Surgery, King Khalid University College of Dentistry, Abha, KSA.

 

Please see the book here :- https://doi.org/10.9734/bpi/msup/v3/6779

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