A novel reconstruction of 2 distinct defects : Concomitant use of a thoracodorsal artery perforator flap and its corresponding muscle flap

A perforator flap completely spares the underlying muscle, so the muscle tissue can now be used as a second flap for the reconstruction of another defect after the harvest of the overlying perforator flap as long as sufficient nutritive branches to the muscle remain. The authors describe here the cr...

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Veröffentlicht in:Annals of plastic surgery 2005-12, Vol.55 (6), p.676-678
Hauptverfasser: MUN, Goo-Hyun, LIM, So-Young, HYON, Won-Sok, BANG, Sa-Ik, OH, Kap-Sung
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container_end_page 678
container_issue 6
container_start_page 676
container_title Annals of plastic surgery
container_volume 55
creator MUN, Goo-Hyun
LIM, So-Young
HYON, Won-Sok
BANG, Sa-Ik
OH, Kap-Sung
description A perforator flap completely spares the underlying muscle, so the muscle tissue can now be used as a second flap for the reconstruction of another defect after the harvest of the overlying perforator flap as long as sufficient nutritive branches to the muscle remain. The authors describe here the creation of 2 independent free flaps from a single donor site, the latissimus dorsi musculocutaneous unit. The 2 flaps, thoracodorsal artery perforator and its corresponding muscle flap, were created and transferred to 2 distinct defects. Using this technique, we could avoid creation of double donor sites and so minimize the donor morbidity to that associated with the traditional single musculocutaneous flap. This technique was employed by us for treating 2 patients who presented with 2 separate defects.
doi_str_mv 10.1097/01.sap.0000182655.02250.1c
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subjects Adult
Aged, 80 and over
Biological and medical sciences
Electric Injuries - surgery
Head and Neck Neoplasms - surgery
Humans
Male
Medical sciences
Reconstructive Surgical Procedures - methods
Scalp - injuries
Skin Neoplasms - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps - blood supply
Tissue and Organ Harvesting
title A novel reconstruction of 2 distinct defects : Concomitant use of a thoracodorsal artery perforator flap and its corresponding muscle flap
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