Abstract
The subscapular artery system is the reconstructive warehouse of the back. The thoracodorsal artery, a branch of the subscapular artery, provides pedicled flaps with a wide range of applications, including breast reconstruction [1], upper extremity and trunk reconstruction [2], and physiologic lymphedema operations. With microvascular anastomosis, it can provide a myocutaneous free flap [4] or a chimeric flap for bony and cutaneous defects [5]
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References
Saint-Cyr M, Nagarkar P, Schaverien M, Dauwe P, Wong C, Rohrich RJ. The pedicled descending branch muscle-sparing latissimus dorsi flap for breast reconstruction. Plast Reconstr Surg. 2009;123(1):13–24.
Wong C, Saint-Cyr M. The pedicled descending branch muscle-sparing latissimus dorsi flap for trunk and upper extremity reconstruction. J Plast Reconstr Aesthet Surg. 2010;63(4):623–32.
Inbal A, Teven CM, Chang DW. Latissimus dorsi flap with vascularized lymph node transfer for lymphedema treatment: Technique, outcomes, indications and review of literature. J Surg Oncol. 2017;115(1):72–7.
Fan KL, DeFazio MV, Graziano FD, Lu J, Song DH. Comment-box modification to muscle-sparing latissimus dorsi design for microvascular anastomosis coverage. Plastic Reconstr Surg Global Open. 2017;5(9):e1506.
Aviv JE, Urken ML, Vickery C, Weinberg H, Buchbinder D, Biller HF. The combined latissimus dorsi-scapular free flap in head and neck reconstruction. Arch Otolaryngol Head Neck Surg. 1991;117(11):1242–50.
Adams WP Jr, Lipschitz AH, Ansari M, Kenkel JM, Rohrich RJ. Functional donor site morbidity following latissimus dorsi muscle flap transfer. Ann Plast Surg. 2004;53(1):6–11.
Russell RC, Pribaz J, Zook EG, Leighton WD, Eriksson E, Smith CJ. Functional evaluation of latissimus dorsi donor site. Plast Reconstr Surg. 1986;78(3):336–44.
Brumback RJ, McBride MS, Ortolani NC. Functional evaluation of the shoulder after transfer of the vascularized latissimus dorsi muscle. J Bone Joint Surg Am. 1992;74(3):377–82.
Clough KB, Louis-Sylvestre C, Fitoussi A, Couturaud B, Nos C. Donor site sequelae after autologous breast reconstruction with an extended latissimus dorsi flap. Plast Reconstr Surg. 2002;109(6):1904–11.
Fraulin FO, Louie G, Zorrilla L, Tilley W. Functional evaluation of the shoulder following latissimus dorsi muscle transfer. Ann Plast Surg. 1995;35(4):349–55.
Angrigiani C, Grilli D, Siebert J. Latissimus dorsi musculocutaneous flap without muscle. Plast Reconstr Surg. 1995;96(7):1608–14.
Schwabegger AH, Harpf C, Rainer C. Muscle-sparing latissimus dorsi myocutaneous flap with maintenance of muscle innervation, function, and aesthetic appearance of the donor site. Plast Reconstr Surg. 2003;111(4):1407–11.
Hamdi M, Van Landuyt K, Monstrey S, Blondeel P. Pedicled perforator flaps in breast reconstruction: a new concept. Br J Plast Surg. 2004;57(6):531–9.
Colohan S, Wong C, Lakhiani C, et al. The free descending branch muscle-sparing latissimus dorsi flap: vascular anatomy and clinical applications. Plast Reconstr Surg. 2012;130(6):776e–87e.
Schaverien M, Wong C, Bailey S, Saint-Cyr M. Thoracodorsal artery perforator flap and Latissimus dorsi myocutaneous flap--anatomical study of the constant skin paddle perforator locations. J Plast Reconstr Aesthet Surg. 2010;63(12):2123–7.
Bank J, Ledbetter K, Song DH. Use of thoracodorsal artery perforator flaps to enhance outcomes in alloplastic breast reconstruction. Plastic Reconstr Surgery Global Open. 2014;2(5):e140.
Kim H, Wiraatmadja ES, Lim SY, et al. Comparison of morbidity of donor site following pedicled muscle-sparing latissimus dorsi flap versus extended latissimus dorsi flap breast reconstruction. J Plast Reconstr Aesthet Surg. 2013;66(5):640–6.
Zhu L, Mohan AT, Saint-Cyr M. A simple approach to harvest of the pedicled descending branch muscle-sparing latissimus dorsi flap. J Plast Reconstr Aesthet Surg. 2015;68(11):e179–81.
Smith SL. Functional morbidity following latissimus dorsi flap breast reconstruction. J Adv Pract Oncol. 2014;5(3):181–7.
Spear SL, Hess CL. A review of the biomechanical and functional changes in the shoulder following transfer of the latissimus dorsi muscles. Plast Reconstr Surg. 2005;115(7):2070–3.
de Oliveira RR, do Nascimento SL, Derchain SF, Sarian LO. Immediate breast reconstruction with a Latissimus dorsi flap has no detrimental effects on shoulder motion or postsurgical complications up to 1 year after surgery. Plast Reconstr Surg. 2013;131(5):673e–80e.
Zenn MR. In: Zenn MR, Jones GE, editors. Reconstructive surgery: anatomy, technique, and clinical application. Boca Raton: CRC; 2012. p. 727–57.
Thomas BP, Geddes CR, Tang M, Williams J, Morris SF. The vascular basis of the thoracodorsal artery perforator flap. Plast Reconstr Surg. 2005;116(3):818–22.
Barton FE Jr, Spicer TE, Byrd HS. Head and neck reconstruction with the latissimus dorsi myocutaneous flap: anatomic observations and report of 60 cases. Plast Reconstr Surg. 1983;71(2):199–204.
Hamdi M, Salgarello M, Barone-Adesi L, Van Landuyt K. Use of the thoracodorsal artery perforator (TDAP) flap with implant in breast reconstruction. Ann Plast Surg. 2008;61(2):143–6.
Magill LJ, Robertson FP, Jell G, Mosahebi A, Keshtgar M. Determining the outcomes of post-mastectomy radiation therapy delivered to the definitive implant in patients undergoing one- and two-stage implant-based breast reconstruction: A systematic review and meta-analysis. J Plast Reconstr Aesthet Surg. 2017;70(10):1329–35.
Disa JJ, McCarthy CM, Mehrara BJ, Pusic AL, Cordeiro PG. Immediate latissimus dorsi/prosthetic breast reconstruction following salvage mastectomy after failed lumpectomy/irradiation. Plast Reconstr Surg. 2008;121(4):159e–64e.
Neligan P, Nahabedian M. Latissimus dorsi flap breast reconstruction. Plastic Surg. 2018;5:301–20. Fourth ed: Elsevier
Janhofer DE, Economides JM, Song DH. The suture tab technique: securing implant position in prepectoral breast reconstruction. Plast Reconstr Surg Glob Open. 2018;6(12):e2005.
Disclosures
Dr. Song receives royalties from Elsevier for Plastic Surgery 3e/4e and Biomet Microfixation for Sternalock. The other authors have no other disclosures.
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Fan, K.L., Cox, H.G., Black, C.K., Economides, J., Song, D.H. (2020). Breast Reconstruction Using the Muscle Sparing Lattisimus Dorsi Flap with Alloplastic Devices. In: Mayer, H. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-34603-4_15
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DOI: https://doi.org/10.1007/978-3-030-34603-4_15
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