The Limberg or rhomboid flap can be used to close defects almost anywhere on the body. It is versatile in that a random pattern flap can be raised from any one or all corners of the rhomboid. The defect is filled with tissue of the same thickness and colour, and with good vascularity. The purpose of this paper is to demonstrate the versatility that a single flap can be used to close defects almost anywhere on the body. This study was conducted in the department of plastic and reconstructive surgery, Saveetha Medical College and Hospital, during the period between January 2018 and December 2019. Twenty patients (fifteen males and five females) took part in this study. Their ages ranged from 20-60 years with a mean age of 42 years. From each patient history was taken and physical examination was performed. All the procedures were done under local anesthesia. Postoperatively suture removal was done on the 5th post-operative day. There were twenty patients who took part in the study. Seventeen patients had naevi and three had basal cell carcinoma. The size of the lesions ranged from 2.0×1.8 cm to 4.8×4.5 cm. All the flaps settled well with no complications. The procedure resulted in a very fine and less noticeable scar with smooth contour of the skin which was acceptable in all patients. Limberg flap is a safe and reliable option that could be used in the reconstruction of small and medium‐sized cutaneous defects of the face especially in elderly patients with no morbidity.
The bilobed flap is a local flap used for the reconstruction of small to moderate cutaneous nasal defects. It was first described by Esser in 1918 for use in nasal tip reconstruction. It is a double transposition flap where the first flap serves to fill the primary defect, and a second smaller fills the secondary defect. This approach seeks to distribute tension across a wider area. It is a random pattern flap with no specified blood supply. This study was done at the department of plastic and reconstructive surgery, Saveetha medical college and hospital, from January 2018 to December 2018. Five patients (four female and one male) underwent bilobed flap to reconstruct the cutaneous nasal defects out of which three patients had naevus while two patients had basal cell carcinoma nose. Their ages ranged from 35-68 years with a mean age of 52 years. The procedures were done under local anaesthesia. Post-operatively, all sutures were removed on the 5th day. This technique was performed in 5 cases with defect size ranging from 0.9×1.1 to 1.3×1.8 cm. All defects were closed under minimal wound tension, all scars were inconspicuous, no obvious complications occurred, and the aesthetic outcomes were considered favorable. The bilobed flap is a versatile, easy to perform and reliable flap for closure of small nasal cutaneous defects with good aesthetic outcomes, reduced morbidity and less scarring.
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