The Modified Lateral Intercostal Artery Perforator Flap

Abstract

Supplemental Digital Content is available in the text.

Breast Reconstruction Using the Lateral Thoracic, Thoracodorsal, and Intercostal Arteries Perforator Flaps

“…In Total, 4 studies described partial breast reconstruction using LTAP flap 25 , 26 , 29 , 32 (combined with LICAP flap in some patients in 3 studies 25 , 26 , 32 ), 3 studies described partial breast reconstruction using LTD flap, 20 , 23 , 24 and 6 studies described partial breast reconstruction using LICAP flap. 21 , 22 , 27 , 28 , 30 , 31 A total of 432 patients were included, and the sample size of each study ranged from 8 to 87 patients. From the 432 included patients, 176 patients underwent an LTAP flap reconstruction (a combined LTAP + LICAP flap reconstruction in 103 cases), 76 patients underwent an LTD flap reconstruction, and 180 patients underwent an LICAP flap reconstruction.…”

“…In the “modified LICAP flap technique” described by Meybodi et al, 30 the tumor excision was performed from the anterior border of the flap and the axillary surgery from the superior border of the flap. The area between the 2 “lazy S” lines was de-epithelialized when needed.…”

The anterior LICAP flap: a design option for oncoplastic breast reconstruction

“…and Hakakian et al. both describe that the LICAP flap was mostly used for a tumor in the LOQ [ 13 , 18 ]. Advantages are no muscle sacrifice, flap reliability and low donor site morbidity.…”

“…Advantages are no muscle sacrifice, flap reliability and low donor site morbidity. A limitation is that the scar that results is visible as it extends from the lateral mammary fold to approximately 3-4 cm posterior to the posterior axillary line [ 13 ]. Previous literature showed that the TDAP flap was frequently used for superior defects of the breast [ 16 ].…”

Возможности Использования Перемещенных Перфорантных Лоскутов (LICAP / LTAP И AIAP / MICAP) В Онкопластической Хирургии Рака Молочной Железы (Обзор Литературы)

“…Достоинствами лоскута являются адекватная длина питающей ножки, возможность ротации лоскута на 180˚ без натяжения [34; 35] и отсутствие необходимости диссекции перфоранта в межреберном промежутке [36]. Кроме того, в большинстве случаев формирование и перемещение лоскута возможно без интраоперационного изменения положения больной [37]. Немаловажным является возможность его использования в тех ситуациях, когда предшествующая операция на аксиллярной области или грудной стенке привела к повреждению торакодорзальных сосудов, что делает LD и TDAP-лоскуты непригодными для применения.…”