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Two modifications to the classic design of the rhomboid flap are described. Firstly, no attempt is made to engineer a rhomboid defect and, secondly, the flap is made smaller than the defect to be reconstructed. The advantages of these modifications are discussed and their application in 175 reconstructions is reported.
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© 1987 The Trustees of British Association of Plastic Surgeons. Published by Elsevier Inc.