To the Editor.—It is a shame that David A. Bray's excellent article entitled "Clinical Applications of the Rhomboid Flap" published in the January Archives (1983;109:37-42) was marred by the inconsistent quality of the color photographs (page 40). Indeed, the postoperative photographs are of such a poor quality as to make impossible the final evaluation of the surgical results.
The postoperative color photographs do, however, show that depressed scars resulted in all three patients. Furthermore, the sutured operative photographs fail to show sufficient wound eversion.1 Since the technical details of wound repair are not described, the depression of the final scars suggests that a layer of buried dermis sutures was not used to overcome wound tension and to evert, or even hyperevert, the skin edges.2 Therefore, the reported "good" results have limited meaning to the readers as to their esthetic (cosmetic) success.
ASHBELL TS. Rhomboid Flap. Arch Otolaryngol. 1983;109(7):495. doi:10.1001/archotol.1983.00800210071019
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