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The lateral intercostal neurovascular free flap
Plastic and Reconstructive Surgery
|January 1, 1984
Summary
A novel lateral intercostal flap, a versatile neurovascular flap, shows promise for reconstructive surgery. This flap, based on posterior intercostal vessels, offers a large, thin option for various defect repairs.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Anatomy
Background:
- The lateral intercostal flap is a newly described neurovascular flap for reconstructive purposes.
- It is based on the lateral cutaneous branch of a posterior intercostal neurovascular bundle.
- The anterolateral abdominal skin serves as the donor site.
Observation:
- Dissections of 95 intercostal spaces in 40 cadavers informed the flap's design.
- The flap is characterized by its large size, thinness, and a long, neurovascular-containing pedicle.
- Multiple donor pedicles and adequate venous drainage were noted.
Findings:
- The flap was successfully applied in 10 out of 12 cases in 11 patients.
- One flap experienced partial loss, and another experienced complete loss.
- The flap was utilized as both a noninnervated flap (neck, face) and an innervated flap (hand, heel).
Implications:
- This flap offers a valuable new option for resurfacing diverse defects.
- Its versatility as an innervated or noninnervated flap enhances its reconstructive potential.
- Further clinical application may refine its use in plastic and reconstructive surgery.