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| Name | Limberg Flap for Basal Cell Carcinoma |
| Video Uploader | Video From Vikas Sinha |
| Upload Date | This Video Uploaded At 05-09-2020 13:50:03 |
| Video Discription | Limber flap is versatile rhomboid Limberg flap. This flap was designed by AA Limberg of Leningrad.This flap can close even the large size defect of the face . The flap has almost same thickness and colour as of the defect area with very good vascularity. Basically it is a parallelogram with two angles of 120 degree and two angles of 60 degree.However these angles can be modified depending on the shape and size of the lesion. This patient had histopathological proved basal cell carcinoma. The lesion was close to left lower eye lid but without its involvement.A tarsorrhaphy was done to protect the eyes. The flap design of parallelogram was marked as shown in video with the marker pen. The 2% xylocaine with adrenaline was infiltrated at the proposed incision lines. With clear safety skin margin of 0.5 cm around the lesion, the basal cell carcinoma was excised in a rhamboid shape . The incision line was extended to create flap as per designed marking. The defatting of tissue was done with sharp curved scissors. The flap was rotated to cover the earlier defect and sutured with nonabsorbable suture material . The tarsorrhaphy sutures were removed . There was initial ectropian and the ophthalmic antibiotic ointment was used for few days for eye protection. This ectropian disappeared after few days. |
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