Becker F F
Arch Otolaryngol. 1979 Oct;105(10):569-73. doi: 10.1001/archotol.1979.00790220003001.
The rhomboid flap has become a popular reconstructive alternative for facial defects in recent years. Since the original description by Limberg, several modifications of the flap have been described, the most important of which was by Dufourmental. In the literature and at many soft-tissue courses, it has been taught that after rotation the maximum tension of the rhomboid flap is at the corner of the rhomboid most distant from the transposed flap. The author shows that the maximum tension of the flap is at the closure of the donor area. This phenomenon is amply illustrated with clinical cases. The Dufourmental modification is more satisfactory than the classical rhomboid flap in most cases because there is less tension on the closure. An understanding of these concepts is essential to the successful use of this important flap in order to avoid distortion of vital facial landmarks. I report a series of 30 consecutive rhomboid flaps.
近年来，菱形皮瓣已成为面部缺损修复的一种常用替代方法。自林伯格最初描述以来，人们对该皮瓣进行了多种改进，其中最重要的是迪富尔门塔尔的改进。在文献以及许多软组织课程中，一直教导说菱形皮瓣旋转后，其最大张力位于菱形中离转移皮瓣最远的角处。作者表明，皮瓣的最大张力出现在供区闭合处。临床病例充分说明了这一现象。在大多数情况下，迪富尔门塔尔改进型比经典菱形皮瓣更令人满意，因为闭合时张力较小。理解这些概念对于成功使用这种重要皮瓣至关重要，以避免重要面部标志的变形。我报告了连续30例菱形皮瓣的病例系列。
