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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 latissimus dorsi is a prime example of such a flap since it can remain attached to its primary blood source which preserves the skins functioning, and is associated with better outcomes in comparison to other muscle and skin donor sites. [18] Transverse Rectus Abdominis Myocutaneous flap (TRAM).
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]
Breast reconstruction using the latissimus dorsi muscle and an implant. This is an example of a pedicled musculocutaneous flap. Musculocutaneous and muscle flaps contain a layer of muscle to provide bulk that can fill a deeper defect. If skin cover is needed, a skin graft can be placed over top of it.
Gastrocnemius flap: Muscle: Interpolation: Open tibial fractures: Hatchett design flap: Cutaneous: Advancement: Forehead excisions/defects Inferior gluteal artery perforator (IGAP) flap [4] Cutaneous: Free flap: Free flap breast reconstruction: Karapandzic flap: Cutaneous: Rotation: Full-thickness lip defects Latissimus flap: Musculocutaneous ...
The procedure to remedy micromastia is breast enlargement, most commonly augmentation mammoplasty using breast implants.Other techniques available involve using muscle flap-based reconstructive surgery techniques (latissimus dorsi and rectus abdominis muscles), microsurgical reconstruction, or fat grafting.
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 ...
Perforator flap surgery is a technique used in reconstructive surgery where skin and/or subcutaneous fat are removed from a distant or adjacent part of the body to reconstruct the excised part. [1] The vessels that supply blood to the flap are isolated perforator(s) derived from a deep vascular system through the underlying muscle or ...