Thoracodorsal artery perforator flap and Latissimus dorsi myocutaneous flap--anatomical study of the constant skin paddle perforator locations

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Mark SchaverienMichel Saint-Cyr

Abstract

Ischaemic flap complications can be a problem following harvest of the latissimus dorsi (LD) musculocutaneous flap or thoracodorsal artery perforator (TAP) flap. We investigate the reliable locations of the perforators of the thoracodorsal artery. Twenty latissimus dorsi flaps harvested from cadavers were used in the study. In fifteen flaps the thoracodorsal artery was injected with coloured latex, and the locations of perforators were recorded. In five flaps perfusion of the skin paddle was evaluated using 3D CT angiography following injection of the thoracodorsal artery with a barium sulphate/gelatin mixture. At least one perforator originating from the descending branch of the thoracodorsal artery was found in all specimens, whereas no perforators from the transverse branch were found in 33% of flaps. At least one perforator originating from the descending branch in all flaps was found between 9.5 and 15.4 cm from the posterior axillary fold, within 4.3 cm of the lateral border of the latissimus muscle. 58% of all perforators from the descending branch, and 39% of all perforators from the thoracodorsal artery were found in this region. CT scanning of the hemiback flaps demonstrated contrast in the superior two-thirds. Perfus...Continue Reading

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Citations

Nov 23, 2010·Plastic and Reconstructive Surgery·Munique MaiaMichel Saint-Cyr
Nov 30, 2012·Plastic and Reconstructive Surgery·Shannon ColohanMichel Saint-Cyr
Oct 8, 2014·Plastic and Reconstructive Surgery. Global Open·Joaquim Muñoz I VidalMike Dewever
Jul 6, 2014·Annales de chirurgie plastique et esthétique·F BoucherA Mojallal
Dec 3, 2014·Hand Clinics·Paul Binhammer
Oct 30, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Li-chang YangYu-ying Wang
Feb 5, 2013·The Breast : Official Journal of the European Society of Mastology·Pawel SzychtaCameron Raine
Apr 18, 2018·Annals of Plastic Surgery·Ehab Mostafa ElzawawyAhmed Farouk Al Karmouty
Oct 25, 2017·Plastic and Reconstructive Surgery. Global Open·Kenneth L FanDavid H Song
Sep 25, 2018·Annals of Plastic Surgery·Sho KomagoeYoshihiro Kimata
Feb 26, 2016·Plastic and Reconstructive Surgery·Yi Xin ZhangDavide Lazzeri
Aug 29, 2012·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Kyu Tae HwangYoun Hwan Kim
Apr 17, 2015·Plastic and Reconstructive Surgery. Global Open·Edward A LuceJoseph Parks
Jul 25, 2020·Annales de chirurgie plastique et esthétique·M WittersR Legre

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