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THE VERSATILE LATISSIMUS DORSI MYOCUTANEOUS FLAP IN BREAST AND OTHER RECONSTRUCTION 1
Author(s) -
O'BRIEN BERNARD MCC.,
MORRISON WAYNE A.,
LAWLER DENNIS L.,
MACLEOD ALLAN,
NEWING R. K.
Publication year - 1982
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1982.tb06097.x
Subject(s) - medicine , iliac crest , latissimus dorsi muscle , surgery , head and neck , dissection (medical) , axilla , blood supply , trunk , axillary artery , soft tissue , breast reconstruction , breast cancer , cancer , ecology , biology
In this series of 35 clinical cases, the versatility of the latissimus dorsl flap is demonstrated. Whilst Its width is limited to approximately 10 cm to gain primary closure, Its length extends from the axilla almost to the iliac crest. If a larger area of soft tissue cover is required, muscle only may be used covered with a split skin graft. Its safe rapid dissection, reliable blood supply and wide arc of rotation make it suitable for many of the reconstructive needs in the trunk, head and neck. Its large vascular pedicle makes it particularly suitable for free flap transfer. The commonest indication for use of the flap has been reconstruction of the breast following radical surgery. The secondary morbidity at the donor site is negligible.