Related Experiment Videos
The thin latissimus dorsi perforator-based free flap for resurfacing
1Department of Plastic and Reconstructive Surgery, School of Medicine, Dong-A University, Busan, Korea. jtkim@mail.donga.ac.kr
Plastic and Reconstructive Surgery
|February 24, 2001
Summary
This study introduces a "thin" latissimus dorsi perforator-based free flap for defect resurfacing. Power Doppler ultrasound aids in identifying reliable perforators, ensuring successful reconstruction with no major complications in 12 cases.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Perforator-based free flaps are versatile reconstructive tools.
- Reducing flap bulk is crucial for certain defect types.
Purpose of the Study:
- To evaluate the efficacy and safety of a "thin" latissimus dorsi perforator-based free flap for defect resurfacing.
- To assess the utility of power Doppler ultrasound in perforator identification for this flap type.
Main Methods:
- A "thin" latissimus dorsi perforator flap, including skin and superficial adipose layer, was designed.
- Preoperative power Doppler ultrasound was used to locate reliable perforators.
- The flap was used in 12 clinical cases for defect reconstruction.
Main Results:
- The thin latissimus dorsi perforator flap was successfully used in 12 patients.
- No flap necrosis or significant postoperative complications were observed.
- Power Doppler ultrasound facilitated efficient perforator selection and flap design.
Conclusions:
- The thin latissimus dorsi perforator-based free flap is a viable option for resurfacing moderate defects.
- Its constant thickness and ease of elevation, aided by ultrasound, make it valuable.
- This technique is suitable for reconstructions following scar contracture release or tumor ablation.