Limberg flap: a review
DOI:
https://doi.org/10.18203/2320-6012.ijrms20232499Keywords:
Limberg flap, Flap, Rhomboid flap, Skin defectAbstract
Alexander Alexandrovich Limberg, Surgeon and Dentist, greatly contributed to the modern practice of plastic surgery. He defined the rhomboid flap (Limberg flap). The simplicity and effectiveness of the Limberg flap make it versatile, allowing adequate aesthetics with few complications. The split is made up of two equilateral triangles with angles of 60° and 120°, respectively. An adequate knowledge of the mechanisms of rotation and sliding of skin tissues is essential to indicate the use of this type of flap and to perform it. The skin can be moved from adjacent sites and must be mobile enough to close the defect with minimal tension. The Limberg flap is a flap that takes advantage of the laxity of the skin adjacent to the defect to allow the transposition of tissue with similar characteristics to the excised tissue.
References
The Free Dictionary. "Limberg, Aleksandr". The Great Soviet Encyclopedia, 3rd Edition. The Gale Group, Inc 1970-1979. Available at: https://encyclopedia2.thefreedictionary.com/Limberg%2c+Aleksandr. Accessed on 12 March 2023.
Anchundia García F, López Rosel A, Guaya Iriarte A, Taipe Topón D. Versatility of the Limberg flap in the closure of skin defects. J American Health. 2021;4(2):95-109.
Suárez Fernández R, Valdivieso M, Martínez D, Mauleón C, Lázaro Ochai- ta P. Colgajos cutáneos: los más usados. Rev Derm Madrid. 2001;4(5).
Jovanovic M, Colic M. Design of the Limberg Flap by a Specially Designed Ruler: A personal Approach. J Am Soc Plastic Surgeons. 2004;113(2):653-8.
Bazzano C. Colgajo romboidal de Limberg: una solución quirúrgica en la reconstrucción de punta de nariz. Act Terap Dermatol. 2008;31:48.
Calderón W, Bonacic S, Calderón D, Paillalef A, Elgueta R. Useful flaps in General Surgery. Chil J Surg. 2010;62(6):649-52.
Medina Murillo G, Rodríguez Medina U, Rodríguez Wong U. Limberg flap: its usefulness in cosmetic dermatology. Rev Hosp Jua Mex. 2015;82(2):118-21.
Ernesto A. Moretti, Jonathan Camargo, Julieta Settecasi, Darío Alarcón, David Chanchi. Limberg ́s flaps: variants and applications. Revista Argentina De Cirugía Plástica. 2017;23(1):21-6.
Imafuku K, Hata H, Yamaguchi Y, Inamura Y, Kitamura S, Yanagi T, Shimizu H. Modified Dufourmentel flap, easy to design and tailor to the defect. J Dermatol. 2017;44(1):68-70.
Iribarren O. Reconstrucción de cuero cabelludo. Cuad Cir. 2000;14:80-9.
Patel K, Sykes J. Concepts in local flaps design and classification. Operative techniques in Otolaryngology. Elsevier. 2011;22:13-23.
Aydin O, Tan O, Algan S, Kuduban S. Versatile use of rhomboid flaps for closure of skin defects. Eurasian J Med. 2011;43(1):1-8.
Hon H, Chandra S. Rhomboid Flap. Atlas Oral Maxillofac Surg Clin North Am. 2020;28(1):17-22.
Kang A, Kang K. Rhomboid flap: Indications, applications, techniques and results. A comprehensive review. Ann Med Surg (Lond). 2021;68:102544.
