The v-y latissimus dorsi musculocutaneous flap in the reconstruction of large posterior chest wall defects.

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Serval ID
serval:BIB_282EB811BA35
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
The v-y latissimus dorsi musculocutaneous flap in the reconstruction of large posterior chest wall defects.
Journal
Aesthetic Plastic Surgery
Author(s)
Christen T., Koch N., Philandrianos C., Ramirez R., Raffoul W., Beldi M., Casanova D.
ISSN
1432-5241 (Electronic)
ISSN-L
0364-216X
Publication state
Published
Issued date
2012
Volume
36
Number
3
Pages
618-622
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
Posterior chest wall defects are frequently encountered after excision of tumors as a result of trauma or in the setting of wound dehiscence after spine surgery. Various pedicled fasciocutaneous and musculocutaneous flaps have been described for the coverage of these wounds. The advent of perforator flaps has allowed the preservation of muscle function but their bulk is limited. Musculocutaneous flaps remain widely employed. The trapezius and the latissimus dorsi (LD) flaps have been used extensively for upper and middle posterior chest wounds, respectively. Their bulk allows for obliteration of the dead space in deep wounds. The average width of the LD skin paddle is limited to 10-12 cm if closure of the donor site is expected without skin grafting. In 2001 a modification of the skin paddle design was introduced in order to allow large flaps to be raised without requiring grafts or flaps for donor site closure. This V-Y pattern allows coverage of large anterior chest defects after mastectomy. We have modified this flap to allow its use for posterior chest wall defects. We describe the flap design, its indications, and its limitations with three clinical cases. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266 .
Pubmed
Web of science
Open Access
Yes
Create date
14/06/2012 18:18
Last modification date
01/10/2019 7:17
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