The Lateral Thoracodorsal Flap in Breast Reconstruction

Holmström, Hans; Lossing, Clas; Bostwick, John

doi:10.1097/00006534-198606000-00011

Cited by 19 publications

(44 citation statements)

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“…To avoid implants, the extended LD was developed so that additional volume could be brought from fat deposits adjacent to the LD muscle [9,10]. In the present series volume additional to the LD flap was brought from the lateral aspects of the thoracic wall where women, particularly postmenopausal women, often have a redundant subcutaneous fat layer and excess skin [12]. In option 1 the additional volume originated from another fasciocutaneous flap, the LTD flap.…”

Section: Discussionmentioning

confidence: 99%

“…The upper border of the skin paddle was located below the inferior angulus of the scapula. The original drawing of the LTD flap was made without respect to the mastectomy scar [12,13]. However, the flap in this report respects the mastectomy scar in the way that the drawing of the upper line starts in the scar, continues posteriorly, and stops a couple of centimetres after the skin paddle of the LD flap has been reached.…”

Section: Methodsmentioning

confidence: 99%

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Extension or combination of an autologous latissimus dorsi flap in breast reconstruction

Lundberg

2009

Scandinavian Journal of Plastic and Reconstructive Surgery and

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The lateral thoracodorsal flap and the pedicled latissimus dorsi flap have been extensively described for breast reconstruction. In search of an alternative, non-microsurgical, autologous method of breast reconstruction we used both flaps combined to achieve adequate volume. The technique was used on three patients who had had a mastectomy at least two years previously. All flaps healed uneventfully with the appearance of an ordinary latissimus dorsi breast reconstruction. The method shows promising initial results and can be used as an alternative when reconstruction with autologous tissue is preferred.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Extension or combination of an autologous latissimus dorsi flap in breast reconstruction

Lundberg

2009

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…The axillary region results in a better aesthetic outcome, but the skin is less mobile in the horizontal than in the vertical plane and the size of the flap is limited if primary donor site closure is planned. For medium sized defects, the Limberg flap from the lateral/dorsal thoracic wall or the lateral thoracodorsal flap is ideal [9]. From the abdominal region the thoracoepigastric transposition flap [10], …”

Section: Discussionmentioning

confidence: 99%

A medially based abdominal transposition flap for large soft tissue defects of the anterior chest wall

2001

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Large defects of the anterior chest wall need not necessarily be covered with a muscle flap if the ribs are intact. A medially based transposition flap from the abdomen with borders at the posterior axillary line, the superior iliac spine, the inguinal ligament, and the umbilicus is described. This flap receives its blood supply through the periumbilical subcutaneous plexus and perforators of the epigastric vessels which cross the midline. The donor-site can be closed primarily in a V-to-Y fashion and the flap can cover defects of the anterior and anterolateral chest wall up to the clavicle. In 17 cases this flap proved to be highly reliable, it is easy to perform and it has an extremely low donor-site morbidity with a good aesthetic result when compared to muscle flaps.

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“…Sin embargo no alcanza su madurez hasta 1986, cuando Hölstrom estandariza este procedimiento que permite la recreación de una neomama con resultados estéticos muy aceptables y fácilmente reproducibles (5). Pese a ello y a su publicación en un revista de referencia, su difusión queda limitada al mundo escandinavo siendo pocos los equipos que han publicado sus resultados con la utilización de este colgajo, y mucho menos con un seguimiento a largo plazo.…”

Section: Introductionunclassified

20 años de experiencia con el colgajo toracoepigástrico tipo Hölstrom

Sastre

Hernández

Hayas

et al. 2008

Cir. plást. iberolatinoam.

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Palabras clave Reconstrucción mamaria. Colgajo toracoepigástrico. Colgajo Hölmstrom. Código numérico 52140-158332Analizamos la evolución en el diseño, la tasa de complicaciones y el grado de satisfacción tras la realización de 222 colgajos toracoepigástricos en 215 pacientes para reconstrucción mamaria diferida e inmediata. El seguimiento medio fue de 112 meses. El 45% de las reconstrucciones mamarias de nuestra Unidad se han realizado con este tipo de colgajo. Del diseño original se ha ido evolucionando al propuesto por Holmström con algunas modificaciones. En 166 casos se asociaron en el mismo acto quirúrgico diferentes procedimientos encaminados a obtener la simetría mamaria. No hubo mortalidad operatoria y aunque la tasa de morbilidad fue del 66/222 (30%) la mayoría de las complicaciones no precisaron tratamiento específico. El grado de satisfacción de las pacientes con el procedimiento fue muy alto. Concluimos que el colgajo toracoepigástrico es una téc-nica simple, que cumple todos los objetivos de una reconstrucción mamaria y puede ser utilizado en un número sustancial de casos, con una morbilidad aceptable y resultados muy bien valorados por las pacientes. We analyse the evolution in the design, the rate of complications and the degree of satisfaction after the accomplishment of 222 lateral thoracodorsal flaps in 215 patients for delayed and immediate mammary reconstruction. The average follow-up was of 112 months. Forty-five percent of the mammary reconstructions carried out in our Unit have been made with this type of flap. The original design has been evolved to the proposed one by Holmström with some modifications. In 166 cases it was associated with other procedures to obtain mammary symmetry. There was no operative mortality and although the rate of morbidity was of 66/222 (30%), most of complications did not need specific treatment. Patients' satisfaction with the procedure was very high. We conclude that lateral thoracodorsal flap is a simple technique that fulfills all the objectives for mammary reconstruction, it can be used in a substantial number of cases, with an acceptable morbidity and high patients´ satisfaction.

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The Lateral Thoracodorsal Flap in Breast Reconstruction

Cited by 19 publications

References 0 publications

Extension or combination of an autologous latissimus dorsi flap in breast reconstruction

Extension or combination of an autologous latissimus dorsi flap in breast reconstruction

A medially based abdominal transposition flap for large soft tissue defects of the anterior chest wall

20 años de experiencia con el colgajo toracoepigástrico tipo Hölstrom

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