Buradasınız

LİMBERG FLEBİN ÇOK AMAÇLI UYGULAMALARI

Journal Name:

Publication Year:

Keywords (Original Language):

Abstract (2. Language): 
When skin grafting is not desirable, the Limberg flap is a useful method in closing large defects, which can not be closed primarily. While a single Limberg flap is frequently used at the face to close moderate defects, multi-Limberg flap techniques can help to cover moderate to large defects at the other body are as. In thirty-eight cases (mean age 55 years-old, 26 male, 12 female), single or multi-Limberg flaps were used to reconstruct skin defects at the lower extremities and the face. Vast majority of the lesions were in facial region and varied 2-10 cm² in size. Thirty Limberg flaps were designed around malignant lesions. Results.- Mean follow-up period was 14 months. We did not observe any major complications related to surgery. Acceptable aesthetic and functional results were achieved in all of the patients. Conclusion.- The versatility and plasticity of Limberg flaps allow the reconstruction of many defects in different localizations and orientations of the body and especially all over the face including cheek, paranasal, buccomandibular and periorbital areas.
Abstract (Original Language): 
Primer sütür için geniş ve deri greftinin uy-gun olmadığı durumlarda Limberg flep, onarım için uygun bir yöntemdir. Özellikle yüz bölge-sinin orta boyuttaki defektlerinde tekli, diğer vücut bölgelerinde orta ve geniş defektlerinde çoklu Limberg flep kullanılabilir. Yüz bölgesinde ve alt ekstremitede deri de-fektleri 38 hastada (Ortalama 55 yaş) tekli ve-ya çoklu Limberg flep kullanılarak onarıldı. Lezyonların çoğunluğu yüz bölgesindeydi ve boyutları 2-10 cm² arasında değişmekteydi. 30 Limberg flep malign lezyonlar çevresinde planlandı. Hastalar ortalama 14 ay süre ile izlendi. Uygulanan cerrahi ile ilgili herhangi bir büyük komplikasyon görülmedi: Tüm hastalarda ka-bul edilebilir estetik ve fonksiyonel sonuçlara ulaşıldı. Limberg flebin esnekliği yüz bölgesinde özellikle de yanak, burun çevresi, bukkoman-dibular ve periorbital alanlarda farklı yerleşim-li defektlerin onarımına izin verir.
53-58

REFERENCES

References: 

1. Turan T., Kuran I., Ozcan H. and Baş L. Geometric limit of Multipl Local Limberg Flaps: A Flap Design Plast Reconst Surg. 1999; 104: 1675-1678.
2. Bray, D.A. Rhombic Flaps. In S. Baker and N. Swanson (Eds), Local Flaps in Facial Reconstruction. St Louis Mosby, 1995; 151-164.
3. Limberg AA: Design of the local flaps, in Gibson T (ed): Modern Trends in Plastic Surgery. Washington, DC, Butterworth Inc, 1996; 38-61.
CERRAHPAŞA TIP DERGİSİ Cilt (Sayı) 35 (2)
58
4. Dufourmental C: Le Fermenture des pertes de substance cutance limitees “le lanbeau de rotation en L pour losange’ dit “LLL.” Ann Chir Plast. 1962; 7: 61-66.
5. Webster RC, Davidson TM, Smith RC: The 30° transposition flap. Laryngoscope, 1978; 88: 85-94.
6. Jervis W, Salyer KE, Vargas Basquet MA, et al: Further applications of the Limberg and Dufourmental flaps. Plast Reconstr Surg. 1974; 54: 335-340.
7. Lopez-Rios FL. Rhombic flap in proctologic reconstruction. Dis Colon Rectum. 1990; 33: 73-7.
8. Altmann S, Fansa H. Schneider W. Surgical treatment of axillary hidraadenitis suppurativa Chirurg. 2001; 72: 1413-6.
9. Luscher NJ.,Kuhn W, Zach GA. Rhombic flaps in surgery for decubital ulcers. İndication and results. Ann plast Surg. 1986; 16: 415-21.
10. Emmett, A.J.J, and O’Rourke, M. G. Malignant skin tumours. New York Churchill Livingstone. 1982; 45-55.
11. Becker, H. The rhomboid-to-W Flap. In Grabb’s Encyclopedia of Flaps Vol. 1: Head and Neck. Boston: Little, Brown, 1990; 779-782.
12. Lister GD, Gibson T: Closure of rhomboid skin defects: The flaps of Limberg and Dufourmental. Br J Plast Surg. 1972; 25: 300-314.
13. Gibson T, Stark H, Evans JH: Directional variations in extensibility of human skin in vivo. J Biomech 1969; 2: 201-204.
14. Wayne F. Larrabee, Jr, MD; Ron Trachy; Dwight Sutton, PhD; Kent Cox, MD, PhD Rhomboid flap dynamics. Arch Otolaryngol. 1981; 107: 755-757.
15. Fee WE, Gunter JP: Rhomboid flap principles and common variations Laryngoscope. 1976; 86: 1706-1711.

Thank you for copying data from http://www.arastirmax.com