The versatility of double-Z rhomboid plasty.

The versatility of the double-Z rhomboid plasty is demonstrated in the closure of excisional wounds in the face and extremities following resection of skin tumors. The degree of distortion resulting from the double-Z rhomboid, simple rhomboid, and direct closure are compared in foam rubber models. The original design as described by Cuono is compared with modifications suggested by Katoh. The indications for the double-Z rhomboid repair are reviewed and the technical aspects to maximize the results are described.