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This course is divided into two detailed units, providing an in-depth understanding of rhomboid flap techniques.

Unit 1: Advanced Rhomboid Flap Design and Planning
This unit explores the foundational principles and adaptations of rhomboid flaps:

• Flap Variants: Learn about the Limburg flap, the most basic rhomboid flap, and modifications like the Dufourmentel flap for added flexibility and reduced tension
• Planning for Success: Understand how to plan flap designs based on the defect, surrounding tissue laxity, and skin tension lines to minimise tension and optimise outcomes
• Mathematical Framework: Explore the geometry behind flap design, using angles and measurements to ensure accurate execution and alignment with skin tension lines.

Unit 2: Practical Application and Demonstrations
This unit emphasises the application of rhomboid flaps through hands-on and video demonstrations:

• Clinical Case Applications: Review clinical examples, including facial and lower limb closures, showcasing flap planning, execution, and adjustments for challenging cases
• Surgical Techniques: Watch step-by-step demonstrations on simulated models, such as pork skin, highlighting precise excision, flap mobilisation, and suturing techniques
• Addressing Challenges: Learn to manage dog ears, ensure tension-free closures, and avoid distortion of sensitive areas like the lateral canthus or eyelids
• Advanced Adjustments: Discover how to modify rhomboid flaps for unique defect shapes and sizes, including circular and oval defects, using innovative approaches like the Dufourmentel design
• This course equips participants with the expertise to confidently apply rhomboid flap techniques in diverse surgical scenarios, ensuring superior functional and cosmetic results.

Learning Outcomes

1. Evaluate the need for careful surgery techniques using direct closure, flaps, wedges and graft repair. 
2. Determine the principles of flap surgery and classification of skin flaps.
3. Evaluate surgical decisions for the use of rhomboid flaps on the face and neck.
4. Assess the role of rhomboid and advancement flaps for the upper and lower limbs, face and larger defects of the torso.
5. Judge how to effectively plan lateral and dorsal nasal closures with local flaps.

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