Versatile use of the muscle and nerve sparing latissimus dorsi flap

TAN Ö., ALĞAN S., Kuduban S. D., ÇİNAL H., BARIN E. Z., ULVİ H.

MICROSURGERY, cilt.32, sa.2, ss.103-110, 2012 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 2
  • Basım Tarihi: 2012
  • Doi Numarası: 10.1002/micr.20953
  • Dergi Adı: MICROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.103-110
  • Atatürk Üniversitesi Adresli: Evet

Özet

In this report, we describe the technique of muscle and nerve sparing latissimus dorsi (LD) flap and evaluate the outcomes of reconstruction of various defects with 12 free and 2 pedicled muscle and nerve sparing LD flaps in 14 patients. The LD muscle functions at operated and nonoperated muscles were evaluated clinically and with electroneuromyography. All flaps survived completely but one which had a partial necrosis. The mean follow-up time was 12.3 months. Adduction and extention ranges of the shoulders were the same bilaterally in all patients. In electroneuromyography, no significant difference was available statistically between the sides. This muscle and nerve sparing latissimus dorsi flap has advantages of thinness, muscle preservation and reliability, and thus can be a good option to other fasciocutaneous flaps in reconstruction surgery. (C) 2011 Wiley Periodicals, Inc. Microsurgery, 2012