Latissimus dorsi flaps oriented on the lateral intercostal artery perforators: Anatomical study and application in autologous breast reconstruction

Toshiharu Minabe, Kiyonori Harii, Nobuaki Imanishi

研究成果: Article査読

8 被引用数 (Scopus)

抄録

Autologous breast reconstruction with the latissimus dorsi (LD) musculocutaneous flap has several problems including scarcity of tissue and postoperative atrophy of muscles. We report a modification of the flap based on a re-evaluation of the intramuscular and perforating vascular anatomy focused on the intercostal vascular system. Our anatomical study confirmed the following technical improvements: splitting of the muscle oriented along the 10 th posterior intercostal artery; siting the axis of the flap on the centre of the 10th lateral intercostal artery perforator to obtain ample subcutaneous fat cranial to the iliac crest; and enclosing the dermoadipofascial flap around the split muscular pedicle. These flaps were used in 12 patients who required reconstruction without implants. The results showed a consistent volume of tissue and shape, and less donor site morbidity. Our modifications can be used to improve the three-dimensional potential of the LD flap in autologous breast reconstruction.

本文言語English
ページ(範囲)58-65
ページ数8
ジャーナルJournal of Plastic Surgery and Hand Surgery
45
2
DOI
出版ステータスPublished - 2011 4月

ASJC Scopus subject areas

  • 外科

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