The Lateral Transverse Thigh Free Flap for Autologous Tissue Breast Reconstruction

Elliott, L. Franklyn

doi:10.1055/s-2008-1080496

Cited by 19 publications

(28 citation statements)

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“…Patients selected for this technique must display sufficient soft tissue in the upper thigh. 55 The Rubens flap, or deep circumflex iliac soft tissue flap, is a variation of the deep circumflex iliac artery iliac crest flap but without the bone. Significant redundant skin and adipose tissue can be present overlying the iliac crest.…”

Section: Other Flapsmentioning

confidence: 99%

Choice of flaps for breast reconstruction

Tachi

Yamada

2005

Int J Clin Oncol

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The optimal method for breast reconstruction should be safe, reliable, and accessible for every patient, and it should display little or no donor-site morbidity. After comparing mammary implants it has been found that autogenous breast reconstruction can create a ptotic, soft, symmetrical breast mound. The transverse rectus abdominis musculocutaneous flap (TRAM) remains the most popular method for autogenous reconstruction. Modern trends in breast reconstruction using the TRAM flap have promoted adequate blood supply to the flap while minimizing donor-site defects in the anterior abdominal wall. The pedicled TRAM flap remains one of the most frequently used flaps, but the indirect blood supply in this flap has required many modifications and refinements. Such modifications have included the bipedicled TRAM flap, the free TRAM flap, and the supercharged TRAM flap. To avoid donor-site morbidities, the muscle-sparing free TRAM, deep inferior epigastric perforator flap (DIEP), and superficial inferior epigastric artery (SIEA) flap were introduced. The DIEP perforator flap requires meticulous technique but offers proven reliability and a low rate of complications. As surgeons become more comfortable with harvesting DIEP flaps, the frequency of usage seems likely to increase. The latissimus dorsi musculocutaneous flap, gluteus maximus musculocutaneous flap, and others may be selected when these modifications of free TRAM flap are unavailable or unusable.

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Section: Other Flapsmentioning

confidence: 99%

Choice of flaps for breast reconstruction

Tachi

Yamada

2005

Int J Clin Oncol

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“…The free perforator flaps (eg, DIEP, SGAP, lumbar artery perforator, anterolateral thigh or medial thigh flap) take advantage of the typical fat deposits in the female patient (abdomen, buttocks, saddle bags, lower flank and back area, and inner thighs) which offer more tissue and hence a bigger augmentation but on the other hand require rather intensive microsurgical procedures. [12][13][14][15][16][17][18][19] Although usually not as heavy as the aforementioned regions, we can take advantage of a natural pleat in the lateral thoracic region, more or less pronounced depending on the general body habitus of the patient. In breast reconstruction, the same transverse skin paddle is used as the base of a musculocutaneous flap, though mostly in combination with a prosthesis.…”

Section: Discussionmentioning

confidence: 99%

Autologous Breast Augmentation by Pedicled Perforator Flaps

Landuyt

Hamdi

Blondeel

et al. 2004

Annals of Plastic Surgery

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A technique is described for autologous breast augmentation based on perforator flaps of the lateral chest wall. Raising these flaps as perforator flaps implies minimal donor site morbidity; however, the price to pay is a scar underneath the armpit extending from the lateral end of the inframammary fold onto the back. This scar can be relatively well hidden underneath the arm and in the brassiere. Indications depend on the aversion of the patient against prostheses and the extent of available tissue versus the desired augmentation. As typical indications, we would consider the occasional developmental asymmetry, autologous augmentation after contralateral breast reconstruction, or contour surgery in the bariatric patient.

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“…The techniques of breast reconstruction have evolved considerably over the last decade [8], the most significant development being the use of autologous tissue [7,12,13,19,23]. The simplest and most widely used technique is that of expansion followed by insertion of silicone breast prostheses [6,10,21].…”

Section: Parisonmentioning

confidence: 99%

Comparison of different techniques in personalized post-mastectomy breast reconstruction

et al. 1994

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Patients undergoing breast reconstruction often ask the plastic surgeon which is the surgical procedure that gives the best results. In order to answer this question, the results of three different techniques of breast reconstruction in 62 cases were compared and evaluated. In 37 cases, the reconstruction was performed by tissue expansion followed by insertion of silicone prostheses (EXP), in 9 cases by a pedicled myocutaneous latissimus dorsi flap with prostheses (LDF), in 16 cases by a microvascular rectus abdominis musculocutaneous flap. Both the subjective (patients' satisfaction and psychological attitude) and the objective data were taken into consideration to evaluate the results. The TRAM results were the best, followed by the EXP technique and then by the LDF technique. The number of immediate and delayed complications was approximately the same using all three techniques, but TRAM is a little safer. Although tissue expansion is the simplest and quickest technique which may be best for some patients, the use of autologous tissue (TRAM) is recommended.

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The Lateral Transverse Thigh Free Flap for Autologous Tissue Breast Reconstruction

Cited by 19 publications

References 0 publications

Choice of flaps for breast reconstruction

Choice of flaps for breast reconstruction

Autologous Breast Augmentation by Pedicled Perforator Flaps

Comparison of different techniques in personalized post-mastectomy breast reconstruction

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