Limberg transposition flaps

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Diamond lobe to Limberg; Rhomboid flap after Limberg; Rhomboid flap plastic

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Limberg, 1946

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Transposition near flap of the skin to cover a diamond-shaped defect.

General information
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  • A triangular flap is incised on the long side of the diamond-shaped defect, the inner leg of which corresponds to an extension of the short diamond diameter by not exceeding an angle of 120° to the edge of the wound. The outer cut line runs parallel to the wound margin at an angle of 60°. The leg lengths should correspond to the dimensions of the defect side. After undermining the flap is transposed into the defect. This creates a "fire-hook-shaped" suture.
  • Notice! Round or oval skin defects can be reshaped into rhomboid by extended excision. The shape and cut of the flap must be planned in such a way that it can be swung into the defect without tension.

  • Indication: Small tumor excisions in the forehead and temporal region, on the side of the nose, the eyebrow, the parotideomasseteric region (Fig. 1 a, b) and on the back of the hand. Larger excisions in the shoulder or lumbar region (Fig. 2 a, b).

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  1. Holle J (1994) Plastic surgery. Hippocrates, Stuttgart
  2. Limberg AA (1966) Design of local flaps. Mod Trends Plast Surg 2: 38-61 Petres J, Rompel R, Robins P (1996) Dermatologic surgery. Textbook and atlas. Springer, New York Berlin Heidelberg
  3. Schulz H (1988) Operative dermatology of the face. Practical interventions. Diesbach, Berlin
  4. Schulz H, Altmeyer P, Stücker M, Hoffmann K (1997) Outpatient operations in dermatology. Hippocrates, Stuttgart


Last updated on: 29.10.2020