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BACKGROUND: In 1979, Kerrigan et al described the anatomical locations and potential reconstructive use of the different perforating branches of the intercostal artery. Later, in 1986, Holmstrom et al reported a flap based off the lateral perforating branch of the intercostal artery—the lateral intercostal artery perforator (LICAP) flap—as an option for superolateral breast reconstruction. Since that time, the LICAP flap has been described in cases reports, retrospective reviews, and even a prospective trial. However, a review of the literature has yet to be published. The purpose of this study was to review our institution’s experience and perform a review of the literature. METHODS: A retrospective review was conducted of a single surgeon’s experience at a major university center. Patients who underwent LICAP flaps between the years of 2007 and 2018 were included. Preand postoperative photographs were reviewed, patient demographics were analyzed, and complication rates were determined. A review of the literature was performed on PubMed with search terms “lateral intercostal artery perforator flap” and “lateral thoracodorsal flap,” selecting for articles describing the use of this flap for partial breast reconstruction.

Lateral Intercostal Artery Perforator Flap: A Single Surgeon Experience and Review of the Literature for Partial Breast Reconstruction