Rhomboid flap: Indications, applications, techniques and results. A comprehensive review

Cutaneous defects may result from trauma, infection, chronic illness, poor healing, or surgical resections. Traditionally, the concept of the reconstructive ladder suggests that primary closure and skin grafting should be considered first in reconstruction of such defects. However, these techniques may lead to increased likelihood of dehiscence, distortion of key structures, poor cosmetic outcomes, and less-than-total graft acceptance. To overcome these limitations, various local skin flaps and tissue rearrangement techniques have been developed, including rhomboid flap. This flap is quickly and easily designed, does not require any special instruments, and provides excellent contour, texture, thickness, color match, long-term good cosmesis and high patient satisfaction. The following article presents a comprehensive review of rhomboid flaps in the English literature and discusses the indications, applications, and results. Nearly 100 years after it was first described by A.A. Limberg, the time has come to embrace this simple and elegant flap as the preferred method of reconstruction of cutaneous defects of any size, caused by any etiology and on any part of the body.