Detailed neurovascular anatomy of the serratus anterior muscle: implications for a functional muscle flap with multiple independent force vectors

Plastic and Reconstructive Surgery
David M GodatHani S Matloub

Abstract

A functional muscle free flap with multiple muscle segments that could be oriented independently to produce different force vectors would be beneficial in facial reanimation and upper extremity reconstruction. The serratus anterior muscle has this potential because two or more individual muscle slips can be transferred on a single vascular pedicle. Although serratus anterior muscular anatomy has been studied previously, little attention has been given to the intramuscular anatomy. Muscle slips 5 through 9 (and 10, if present) in 50 specimens from 27 cadavers were studied following intraarterial latex injection. Eight specimens were injected with a radiopaque material (latex/diatrizoate/lead mixture) for x-ray delineation of the intramuscular vascular pattern. Slips 5 through 9 are consistently supplied by a single dominant branch of the thoracodorsal artery and innervated by the long thoracic nerve. Dissection revealed that the long thoracic nerve and its branches invariably follow the artery and divide proximal to the corresponding arterial division. There is a consistent vascular pattern to each muscle slip, in which the serratus artery gives rise to common slip arteries, each of which supplies adjacent muscle slips. The mean...Continue Reading

References

Sep 1, 1978·The Journal of Hand Surgery·R T Manktelow, N H McKee
Jan 1, 1988·Surgical and Radiologic Anatomy : SRA·P VuB Andreassian
Nov 1, 1988·British Journal of Plastic Surgery·S E LoganH J Buncke
Oct 1, 1985·Journal of Reconstructive Microsurgery·A L Dellon, S E Mackinnon
Oct 1, 1985·British Journal of Plastic Surgery·M A RichardsA M Godfrey
Jan 1, 1984·The Journal of Hand Surgery·R T ManktelowN H McKee
May 1, 1984·Plastic and Reconstructive Surgery·R T Manktelow, R M Zuker
Apr 1, 1982·Annals of Plastic Surgery·S Takayanagi, T Tsukie
Jun 1, 1995·Plastic and Reconstructive Surgery·K UedaA Yamada
Jan 1, 1995·Microsurgery·M M CarrR M Zuker
Jan 1, 1997·Journal of Reconstructive Microsurgery·G G Hallock
Jun 1, 1997·Plastic and Reconstructive Surgery·J K Terzis, M E Noah
Aug 24, 1999·Annals of Plastic Surgery·Y L LaiM S Noordhoff
Jul 7, 2000·Plastic and Reconstructive Surgery·R M ZukerR T Manktelow

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Citations

Oct 27, 2010·Surgical and Radiologic Anatomy : SRA·Gael PiquilloudVincent Casoli
Jun 28, 2011·Journal of Neurosurgery·Wilson Z RaySusan E Mackinnon
Feb 18, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Fabio Santanelli di PompeoEnrico Cavalieri
Jun 15, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jun ShiXu-dong Wang
Feb 24, 2016·Microsurgery·Seong Oh ParkNobuaki Imanishi
Oct 9, 2007·Annales de chirurgie plastique et esthétique·B Pittet-Cuénod
Mar 24, 2009·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·F YazarA Comert
Oct 24, 2008·Microsurgery·Meisei TakeishiYojiro Makino
Feb 1, 2015·Interactive Cardiovascular and Thoracic Surgery·Joo Seok ParkEun Key Kim
Jan 2, 2015·Archives of Orthopaedic and Trauma Surgery·Anaïs DelgoveVincent Casoli
Nov 10, 2018·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Stefan J JanikBoban M Erovic
Dec 28, 2018·Plastic and Reconstructive Surgery·Hiroshi MatsumotoYoshihiro Kimata
May 3, 2006·Plastic and Reconstructive Surgery·Aymeric Y T LimMartins Kapickis
May 3, 2006·Plastic and Reconstructive Surgery·Leonard BergeronSteven F Morris
Aug 2, 2007·Annals of Plastic Surgery·Marcus Thien Chong WongPrem V Kumar
Sep 6, 2005·Plastic and Reconstructive Surgery·Scott D LifchezHani S Matloub
Apr 4, 2006·Plastic and Reconstructive Surgery·Brigitte PittetDenys Montandon
Mar 31, 2011·Journal of Plastic Surgery and Hand Surgery·Rik OsingaClaudia Meuli-Simmen
Jun 21, 2018·Plastic and Reconstructive Surgery. Global Open·Alexander Seal, Milan Stevanovic
May 20, 2021·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Susanne ReinThomas Kremer

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