Advertisement

Muscle Transfers

  • Ralph T. Manktelow

Abstract

In the late 19th century, Iginio Tansini used skin flaps from the posterior lateral chest to cover mastectomy defects. The distal portion of these flaps always failed. After taking his clinical problem to the anatomy dissection table, he recognized that the skin over the posterior lateral chest wall received its blood supply from branches passing through the latissimus dorsi muscle to the overlying skin [4,9]. This was the first clinical recognition of the concept of muscular perforators’ supplying circulation to the overlying skin. Using this concept, he developed the latissimus dorsi musculocutaneous flap for skin coverage following radical mastectomy. In spite of the discovery of this revolutionary procedure, the musculocutaneous concept did not become understood and accepted until Orticochea described the gracilis musculocutaneous flap. A few years later, the latissimus dorsi was again ‘discovered’ and its tremendous versatility and usefulness appreciated [6].

Keywords

Skin Flap Latissimus Dorsi Myocutaneous Flap Overlie Skin Latissimus Dorsi Muscle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Hill HL, Nahai F, Vasconez L (1978) The tensor fascia lata myocutaneous free flap. Plast Reconstr Surg 61: 517PubMedCrossRefGoogle Scholar
  2. 2.
    Manktelow RT, McKee NH, Vettese T (1980) An anatomical study of the pectoralis major muscle as related to functioning free muscle transplantation. Plast Reconstr Surg 65: 610PubMedCrossRefGoogle Scholar
  3. 3.
    Mathes SJ, Nahai F (1981) Classification of the vascular anatomy of muscles: experimental and clinical correlation. Plast Reconstr Surg 67: 177PubMedCrossRefGoogle Scholar
  4. 4.
    Maxwell GP (1980) Iginio Tanzini and the origin of latissimus dorsi musculocutaneous flap. Plast Reconstr Surg 65: 686PubMedCrossRefGoogle Scholar
  5. 5.
    McCraw JB, Dibbell DG (1977) Experimental definition of independent myocutaneous vascular territories. Plast Reconstr Surg 60: 212PubMedCrossRefGoogle Scholar
  6. 6.
    Olivari N (1976) The latissimus flap. Br J Plast Surg 29: 126PubMedCrossRefGoogle Scholar
  7. 7.
    Orticochea M (1972) The musculo-cutaneous flap method: an immediate and heroic substitute for the method of delay. Br J Plast Surg 25: 106PubMedCrossRefGoogle Scholar
  8. 8.
    Takayanagi S, Tsukie T (1982) Free serratus anterior muscle and myocutaneous flaps. Ann Plast Surg 8: 277PubMedCrossRefGoogle Scholar
  9. 9.
    Tanzini I (1906) Sopra il mio nuovo processo di amputazione della mammaella. Reforma Medica 12: 757Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • Ralph T. Manktelow
    • 1
    • 2
  1. 1.Faculty of MedicineUniversity of TorontoTorontoCanada
  2. 2.Division of Plastic SurgeryToronto General HospitalTorontoCanada

Personalised recommendations