The Combined Latissimus Dorsi and Scapular Free Flap for the Complex Anterior Neck Defect after Enlarged Total Laryngectomy

Antohi, Nicolae; Tibirna, George

doi:10.1097/00000637-199409000-00014

Cited by 9 publications

(7 citation statements)

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“…The latissimus dorsi flap and the serratus anterior flap have been used as combined flaps to reconstruct extensive defects (Takayanagi et al, 1988;Franceschi et al, 1991;Antohi and Tibirna, 1994;Wu et al, 1997). Because these two muscles are usually supplied by the subscapular-thoracodorsal vessels, the two flaps can be based on one vascular pedicle that is long and anatomically reliable.…”

Section: Discussionmentioning

confidence: 99%

Anomalous arterial supply to the muscles in a combined latissimus dorsi and serratus anterior flap

Halim¹,

Wan²

2004

Clinical Anatomy

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The combined latissimus dorsi and serratus anterior flap has been employed for large defect reconstruction and has been shown to be reliable. These flaps are based on the subscapular-thoracodorsal vascular pedicle that usually supplies both muscles. In the case reported, serratus anterior possessed an anomalous arterial supply totally independent of the subscapular pedicle. The latissimus dorsi and serratus anterior muscles were used as a combined flap to reconstruct a massive thigh defect. The combined flap required two arterial anastomoses.

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Section: Discussionmentioning

confidence: 99%

Anomalous arterial supply to the muscles in a combined latissimus dorsi and serratus anterior flap

Halim¹,

Wan²

2004

Clinical Anatomy

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“…10 Due to its characteristics, this flap becomes a workhorse flap in the coverage of such defects as those seen in our series. 11 Fourteen such combined flaps were used. The thin, pliable, scapular portion of the flap applied as a patch-on restored the integrity of the alimentary tube.…”

Section: Discussionmentioning

confidence: 99%

Free flaps for type III complex pharyngoesophageal defects after enlarged ablative surgery for advanced cancer of larynx and hypopharynx

Antohi

M.D.²,

Bejan³

et al. 2003

Microsurgery

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Free tissue transfer has become a useful technique for reconstruction of type III complex pharyngoesophageal defects after enlarged laryngectomy and partial or total pharyngoesophageal resection. We present a retrospective analysis of our experience with 36 patients who received free flaps for reconstruction of complex pharyngoesophageal defects associated with skin and soft-tissue defects. Free fasciocutaneous flaps and jejunum combined with a deltopectoral flap and musculocutaneous pectoralis major flap, gastro-omental flap, and combined latissimus dorsi musculocutaneous and cutaneous scapular flaps were used for reconstruction. Adjuvant therapy included preoperative or postoperative radiotherapy. Free flap failure occurred in 2 of 36 patients. Twenty-eight patients had good swallowing function. Better results with fewer complications in reconstruction of type III complex pharyngoesophageal defects were obtained with the use of a combined latissimus dorsi and scapular flap.

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“…The subscapular flap has been used successfully for single stage reconstruction of through-and-through oromandibular and pharyngoesophageal defects. [23][24][25][26] However, even the so-called subscapular ''mega-…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of massive defects in the head and neck: The role of simultaneous distant and regional flaps

et al. 1997

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Background. Massive defects resulting from excision of advanced head and neck tumors may not be amenable to reconstruction using a single technique of tissue transfer. Sixteen patients undergoing reconstruction using simultaneous free flaps and pedicled regional flaps are presented.Methods. Regional flaps included the pectoralis major, deltopectoral, cervical visor, paramedian forehead, cervicofacial, and nape of neck flaps. Microvascular tissue transfers included the radial forearm, iliac crest, parascapular/latissimus dorsi, rectus abdominis, fibula, and lateral thigh free flaps.Results. Most defects involved both aerodigestive mucosa and external cutaneous skin. Mucosal reconstruction was carried out using the soft-tissue component of the free flaps, whereas vascularized bone was used for mandibular reconstruction. Regional flaps were used to reconstruct skin of the face and neck.Conclusions. When planned and applied in a stepwise fashion, simultaneous free flaps and regional flaps are complimentary for the reconstruction of complex wounds in the head and neck.

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The Combined Latissimus Dorsi and Scapular Free Flap for the Complex Anterior Neck Defect after Enlarged Total Laryngectomy

Cited by 9 publications

References 0 publications

Anomalous arterial supply to the muscles in a combined latissimus dorsi and serratus anterior flap

Anomalous arterial supply to the muscles in a combined latissimus dorsi and serratus anterior flap

Free flaps for type III complex pharyngoesophageal defects after enlarged ablative surgery for advanced cancer of larynx and hypopharynx

Reconstruction of massive defects in the head and neck: The role of simultaneous distant and regional flaps

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