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The Mannu flap is a form of latissimus dorsi flap which avoids this complication by preserving a generous subcutaneous fat layer at the donor site and has been shown to be a safe, simple and effective way of avoiding wound dehiscence at the donor site after extended latissimus dorsi flap reconstruction. [19]
Breast-reconstruction mammoplasty can sometimes be realised with the application of a pedicled flap of tissue that has been harvested from the latissimus dorsi muscle, which is the broadest muscle of the back, to which the pedicle (“foot”) of the tissue flap remains attached until it successfully grafts to the recipient site, the mastectomy ...
The pedicle can be removed after a new blood supply has formed. Examples: pectoralis major myocutaneous flap and deltopectoral flap for head and neck defects, and latissimus dorsi flap and traverse rectus abdominal muscle (TRAM) flap for breast reconstruction. [4] Distant flaps are used when the donor site is far from the defect.
The latissimus dorsi is a potential source of muscle for breast reconstruction surgery after mastectomy (e.g., Mannu flap) [12] or to correct pectoral hypoplastic defects such as Poland's syndrome. [13] [14] An absent or hypoplastic latissimus dorsi can be one of the associated symptoms of Poland's syndrome. [15] [16]
Estlander flap: Cutaneous: Transposition: Labial commissure of mouth defects Fibular flap: Osteocutaneous: Free flap: Mandible reconstruction Gastrocnemius flap: Muscle: Interpolation: Open tibial fractures: Hatchett design flap: Cutaneous: Advancement: Forehead excisions/defects Inferior gluteal artery perforator (IGAP) flap [4] Cutaneous ...
However, greater volume defects may require microsurgical reconstructive surgery which may involve the transfer of an island parascapular fasciocutaneous flap or a free flap from the groin, rectus abdominis muscle (Transverse Rectus Abdominis Myocutaneous or "TRAM" flap) or latissimus dorsi muscle to the face.
Conventional mastectomy (top); skin sparing mastectomy and latissimus dorsi myocutaneous flap reconstruction, prior to nipple reconstruction and tattooing (bottom) Plastic surgery can be performed to augment or reduce the size of breasts, or to reconstruct the breast in cases of deformative disease, such as breast cancer. [74]
Common donor regions include the rectus abdominis muscle, latissimus dorsi muscle, fibula, radial forearm bone and skin, and lateral arm skin. The composite tissue is transferred (moved as a free flap of tissue) to the region on the patient requiring reconstruction (e.g., mandible after oral cancer resection, breast after cancer resection ...