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Related Experiment Videos

The split latissimus dorsi myocutaneous flap

G R Tobin, A W Moberg, R H DuBou

    Annals of Plastic Surgery
    |October 1, 1981
    PubMed
    Summary

    The latissimus dorsi muscle can be surgically split into two independent flaps. This versatile technique offers numerous advantages for head and neck reconstruction and motor function preservation.

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    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery
    • Anatomy

    Background:

    • The latissimus dorsi muscle is a large, versatile muscle used in reconstructive surgery.
    • Standard surgical techniques often involve transferring the entire muscle unit.
    • Limited options exist for independent flap manipulation.

    Observation:

    • Consistent proximal neurovascular branching allows for surgical division of the latissimus dorsi.
    • The myocutaneous unit can be split into two distinct flaps.
    • Each branch of the split flap can be independently transferred.

    Findings:

    • The split latissimus dorsi flap enables simultaneous cover and lining in head and neck reconstructions.
    • Motor function can be preserved at the donor site by using only one split muscle branch.
    • Independent transfer of individual branches facilitates complex reconstructive procedures.
    • The branched flap or its individual branches are suitable for microvascular free tissue transfer.

    Implications:

    • This technique enhances reconstructive versatility, particularly in head and neck surgery.
    • It offers improved functional outcomes by preserving donor site motor function.
    • The split flap provides a valuable option for complex free tissue transfers.
    • Further clinical applications and refinements of this technique are anticipated.

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