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Thoracodorsal artery perforator flap: Indeed a versatile flap.
Leena Jain1, Samir M Kumta1, Shrirang K Purohit1
1Department of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.
Summary
The thoracodorsal artery perforator (TDAP) flap is a versatile option for various reconstructions. Its reliable harvest and adaptability make it an excellent choice for soft tissue coverage, even for beginners.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- The thoracodorsal artery perforator (TDAP) flap is recognized as an ideal perforator flap.
- This study explores the TDAP flap's versatility in terms of indications, harvest techniques, and perforator reliability.
Purpose of the Study:
- To describe the versatility of the TDAP flap.
- To highlight its applications in various reconstructive scenarios.
- To detail methods of harvest and perforator consistency.
Main Methods:
- A total of six TDAP flaps were performed (five free, one pedicled) over one year.
- Indications included reconstruction of oral cavity, breast, and extremities.
- Harvesting was performed in lateral, prone, or supine positions without patient repositioning.
Main Results:
- No flap failures or re-explorations were reported.
- Average perforator length was 6 cm, extendable to 12-14 cm.
- Perforator position varied, but presence was consistent; paddle orientation allowed inconspicuous scarring.
Conclusions:
- The TDAP flap is a versatile workhorse for soft tissue reconstruction due to its advantages.
- Ease of harvest makes it suitable for beginners.
- Chimerism with latissimus dorsi muscle allows for coverage and volume replacement.
