Plastic and Reconstructive Surgery·Practice and Skill Innovations
Application of latissimus dorsi flap and thoracodorsal artery perforator flap in different wounds
Lianchu Li, Muzhang Xiao, Anjin Liu, Hui Jin, Wen Zhang, Zhengzheng Ma, Ningning Tang, Xiaoyuan Huang
Published 2019-03-25
Cite as Chin J Plast Surg, 2019, 35(3): 269-273. DOI: 10.3760/cma.j.issn.1009-4598.2019.03.011
Abstract
ObjectiveTo explore the application and choice of latissimus dorsi musculocutaneous flap and thoracodorsal artery perforator flap in different wound repair.
MethodsFrom March 2012 to February 2018, 8 cases of different wounds were repaired with island latissimus dorsi myocutaneous flap pedicled with dorsal thoracic artery, free latissimus dorsi myocutaneous flap, or thoracodorsal artery perforator flap combined with scapular flap. The patients includes 4 cases of trauma, 2 cases of tumor and 2 cases of osteomyelitis. Among them, 5 cases received pedicled grafting, 2 cases had anastomotic vascular free grafting combined with antibiotic bone cement chain bead, 1 case had thoracodorsal artery perforator flap combined with scapular flap.
ResultsAll 9 flaps of 8 patients survived. The size of the flaps ranged from 22.0 cm×7.5 cm to 28.0 cm×21.0 cm. All the donor and recipient areas healed well. After 2 months to 2 years follow up, all flaps have good blood supply, and the limbs′ function was normal. The appearance of flaps were satisfactory, with fully treated osteomyelitis, and no recurrence of the tumor was observed.
ConclusionsAccording to wound characteristics, selective application of thoracodorsal artery perforator flap, pedicled or free latissimus dorsi myocutaneous flap is effective for the repair of muscle, skin and soft tissue defects, as well as osteomyelitis, after tumor resection.
Key words:
Surgical flap; Latissimus dorsi musculocutaneous flap; Thoracodorsal artery perforator flap; External injury; Osteomyelitis; Tumor
Contributor Information
Lianchu Li
Department of Plastic Surgery, Xiangya Changde Hospital, Changde 415000, China
Muzhang Xiao
Department of Plastic Surgery, Xiangya Changde Hospital, Changde 415000, China
Anjin Liu
Department of Trauma Surgery, Changde Orthopaedic Hospital, Changde 415000, China
Hui Jin
Department of Plastic Surgery, Xiangya Changde Hospital, Changde 415000, China
Wen Zhang
Department of Plastic Surgery, Xiangya Changde Hospital, Changde 415000, China
Zhengzheng Ma
Department of Plastic Surgery, Xiangya Changde Hospital, Changde 415000, China
Ningning Tang
Department of Plastic Surgery, Xiangya Changde Hospital, Changde 415000, China
Xiaoyuan Huang
Department of Plastic Surgery, Xiangya Changde Hospital, Changde 415000, China