Different Types of Suprafascial Courses in Thoracodorsal Artery Skin Perforators

Lin, Cheng Ta; Huang, Jer Shyung; Hsu, Kuei‐Chang; Yang, Kuo Chung; Chen, Jin Shyr; Chen, Lee Wei

doi:10.1097/01.prs.0000299279.87012.7b

Cited by 30 publications

(21 citation statements)

References 25 publications

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“…Although it features a constant vascular supply (Mayo et al, ), preoperative imaging has been advised (Allen et al, ). The principle of an ideal skin perforator is defined of a size larger than 0.5 mm (Lin et al, ; Miller, Potparic, Colen, Sorrell, & Carraway, ). Modern CTA is competent to locate vessels as small as 0.3 mm (Mathes & Neligan, ) and is widely used to locate profunda artery perforators (DeLong et al, ; Satake et al, ).…”

Section: Discussionmentioning

confidence: 99%

Simplified profunda artery perforator (PAP) flap design using power Doppler ultrasonography (PDU): A prospective study

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Simplified profunda artery perforator (PAP) flap design using power Doppler ultrasonography (PDU): A prospective study

et al. 2017

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“…The tedious dissection of perforators of varying diameters and locations, requiring prolonged surgery, is another disadvantage of the TDAP flap, whereas MNS-LD flap was able to be raised more safely in a relatively shorter duration with a mean dissection time of 80 min. Depending on all the factors above, fairly high complication rates up to 21 18 and 23% 16 were reported about the TDAP flap in the literature. In our series, this rate was 7% (1 of 14 cases).…”

Section: Discussionmentioning

confidence: 93%

Versatile use of the muscle and nerve sparing latissimus dorsi flap

et al. 2011

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In this report, we describe the technique of muscle and nerve sparing latissimus dorsi (LD) flap and evaluate the outcomes of reconstruction of various defects with 12 free and 2 pedicled muscle and nerve sparing LD flaps in 14 patients. The LD muscle functions at operated and nonoperated muscles were evaluated clinically and with electroneuromyography. All flaps survived completely but one which had a partial necrosis. The mean follow-up time was 12.3 months. Adduction and extention ranges of the shoulders were the same bilaterally in all patients. In electroneuromyography, no significant difference was available statistically between the sides. This muscle and nerve sparing latissimus dorsi flap has advantages of thinness, muscle preservation and reliability, and thus can be a good option to other fasciocutaneous flaps in reconstruction surgery.

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“…Colour Doppler ultrasonography was performed in all cases by the surgeon before the operation, to ensure the presence of a good perforator. Inclusion of patients with sufficient perforators has been shown to be of importance to prevent unreliable TAP flaps [5,6].…”

Section: Discussionmentioning

confidence: 99%

Propeller TAP flap: Is it usable for breast reconstruction?

Thomsen

Bille

Wamberg

et al. 2013

Journal of Plastic Surgery and Hand Surgery

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The aim of this study was to examine if a propeller thoracodorsal artery perforator (TAP) flap can be used for breast reconstruction. Fifteen women were reconstructed using a propeller TAP flap, an implant, and an ADM. Preoperative colour Doppler ultrasonography was used for patient selection to identify the dominant perforator in all cases. A total of 16 TAP flaps were performed; 12 flaps were based on one perforator and four were based on two. A permanent silicone implant was used in 14 cases and an expander implant in two. Minor complications were registered in three patients. Two cases had major complications needing additional surgery. One flap was lost due to a vascular problem. Breast reconstruction can be performed by a propeller TAP flap without cutting the descending branch of the thoracodorsal vessels. However, the authors would recommend that a small cuff of muscle is left around the perforator to ensure a sufficient venous return.

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Different Types of Suprafascial Courses in Thoracodorsal Artery Skin Perforators

Abstract: The suprafascial courses of skin perforators facilitate the design and thinning procedures of thoracodorsal artery perforator flaps. They improve the survivability of flaps and make thinning procedures more secure and efficient.

Cited by 30 publications

References 25 publications

Simplified profunda artery perforator (PAP) flap design using power Doppler ultrasonography (PDU): A prospective study

Simplified profunda artery perforator (PAP) flap design using power Doppler ultrasonography (PDU): A prospective study

Versatile use of the muscle and nerve sparing latissimus dorsi flap

Propeller TAP flap: Is it usable for breast reconstruction?

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