2018
DOI: 10.1111/coa.13257
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Design of skin islands for a myocutaneous serratus anterior free flap—An anatomical study and clinical implication for pharyngeal reconstruction after laryngopharyngectomy

Abstract: Objectives The main purpose of this study was to evaluate flap size and flap design of skin islands in myocutaneous serratus anterior free flaps (SAFFs) in fresh cadavers and to further investigate whether myocutaneous SAFFs are suitable flaps for pharyngeal reconstruction after laryngopharyngectomy. Methods Dissection and injection of methylene blue were performed in 20 hemithoraces of 13 fresh cadavers to evaluate flap size and location of skin islands. Based on these pre‐clinical data, we performed pharynge… Show more

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Cited by 5 publications
(13 citation statements)
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“…Maximum width is kept approximately to 6-8 cm to facilitate direct closure. A different description was given by Janik who defined the vertical anatomic borders of the flap in relation to the height of the hemithorax [9]. In Park's study the suggested orientation of the flap is parallel to the anterior border of Latissimus Dorsi muscle and not to the Serratus Anterior [15], (Table III).…”
Section: Resultsmentioning
confidence: 99%
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“…Maximum width is kept approximately to 6-8 cm to facilitate direct closure. A different description was given by Janik who defined the vertical anatomic borders of the flap in relation to the height of the hemithorax [9]. In Park's study the suggested orientation of the flap is parallel to the anterior border of Latissimus Dorsi muscle and not to the Serratus Anterior [15], (Table III).…”
Section: Resultsmentioning
confidence: 99%
“…Perrot in his study used a mixture of a dye and a radiopaque substance for radiologic co-evaluation [8]. All but one studies [9] stated that the arterial branch to LD muscle was ligated prior to the injection of the dye.…”
Section: Resultsmentioning
confidence: 99%
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“…The SAFF was dissected as described 2 (Figure 1). Depending on the width of individual's serratus anterior muscle finger, we harvested either one ( n = 7) or two ( n = 4) fingers (Table 1).…”
Section: Resultsmentioning
confidence: 99%