Abstract

The rhombic transposition flap is an important method used in the repair of facial defects. 1 Miller C.J. Design principles for transposition flaps: the rhombic (single-lobed), bilobed, and trilobed flaps. Dermatol Surg. 2014; 40: S43-S52 Crossref Scopus (16) Google Scholar The design of this flap can be a challenge for the practicing dermatologist, and there are limited articles illustrating a stepwise approach to designing this flap on patients. We propose a simple 4-step method using sterile wooden dowel ends of commonly available cotton swabs or sterile rulers to assist in design and measurement of the Limberg variant of the rhombic flap.

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