Thoracodorsal artery an overview sciencedirect topics. Reconstruction of the hypopharynx and cervical esophagus after tumor. Only one flap was debulked with suction assisted lipectomy at a second stage. The intercostals perforator is noted to join the thoracodorsal artery by a connecting vessel. Preoperative ultrasonography or computed tomography angiography is usually used to help identify perforators on which to base the flap. Pdf shoulder function after harvesting a thoracodorsal. Thoracodorsal artery perforator flap in breast reconstruction. The arc of rotation for the thoracodorsal artery perforator was defined fig.
Like a split ld flap, a thoracodorsal artery perforator flap 1518 can be used to repair partial breast defects without compromising function of the remaining ld muscle. A total of 45 patients underwent partial or total autologous breast reconstruction after skin sparing mastectomy, skinreducing. Pdf transaxillary thoracodorsal artery perforator flap. The propeller, flipover, conventional perforator, and musclesparing flaps have been.
We, hereby, describe its versatility in indications freepedicled. Since angrigiani et al described the concept of the thoracodorsal artery perforator flap, the harvesting technique of the latissimus dorsi musculocutaneous flap. All the flaps were based on a single perforator artery 17 cases, 85%, except in 3 cases 15% in which 2 perforators from the same vertical branch of the thoracodorsal artery were isolated and used. The thoracodorsal artery perforator flap request pdf.
The flap was trans posed onto the breast anterolateral and pos terolateral chest wall fig. Extended thoracodorsal artery perforator flap for breast reconstruction. Pdf extended thoracodorsal artery perforator flap for breast. Use of thoracodorsal artery perforator flaps to enhance outc. Shoulder function after harvesting a thoracodorsal artery perforator flap. The thoracodorsal artery perforator scapular osteocutaneous tdapsoc flap for reconstruction of palatal and maxillary defects. Transaxillary thoracodorsal artery perforator flap. Chimeric thoracodorsal lymph node flap with a perforator. The thoracodorsal artery perforator flap is a cutaneous flap based on cutaneous perforators of the thoracodorsal vessels. For example, when a large thoracodorsal artery perforator flap is planned, it must be planned over the latissimus dorsi muscle to incorporate neighboring.