The thinned latissimus dorsi free flap: a case report.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Microsurgery

Background:

• The latissimus dorsi muscle flap is a common reconstructive tool.
• Limitations exist in its application to certain anatomical regions due to bulk.
• Thinning techniques aim to overcome these limitations.

Observation:

• The successful clinical application of a thinned free vascularised latissimus dorsi muscle flap is presented.
• The procedure involves meticulous thinning of the flap at the time of harvest and transfer.
• This allows for adaptation to smaller or more complex recipient sites.

Findings:

• Successful thinning of the latissimus dorsi muscle flap is achievable.
• This technique significantly broadens the reconstructive potential of the flap.
• The thinned flap is suitable for diverse recipient areas including the face, anterior tibial region, and dorsum of the foot.

Implications:

• Expanded reconstructive versatility for plastic and reconstructive surgeons.
• Improved aesthetic and functional outcomes in challenging anatomical reconstructions.
• Potential for wider adoption of this refined microsurgical technique.