Application of lateral thoracic flap in maxillofacial defect reconstruction: Experience with 28 cases

Shi, Jun; Xu, Bing; Shen, Guofang; Wang, Xudong

doi:10.1016/j.bjps.2013.05.032

Cited by 5 publications

(1 citation statement)

References 17 publications

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“…The blood supply of the lateral thoracic artery can come from the thoracoacromial artery, axillary artery, thoracodorsal artery, subscapular artery or multiple arteries in the lateral thoracic region ( 24 , 25 ). Its anatomical position is relatively fixed, and it is generally located 2 cm outside the lateral margin of the breast between the third and fourth ribs ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Application of a modified lateral thoracic artery perforator flap in partial breast defects

Huang,

Qiu,

Liang

et al. 2024

Gland Surg

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Background Breast cancer has become the most frequently diagnosed cancer in the world. Detection at an early stage, frequently allows women to benefit from breast conserving surgery. However, some patients are not satisfied with the breast shape after breast-conserving surgery, and autologous tissue flaps are needed to fill the defect in the resection area. The modified lateral thoracic artery perforator (LTAP) flap isn’t one of the commonly used flaps in breast surgery and has the advantages of a reliable blood supply, simple operation and few postoperative complications. In this study, we aimed to evaluate the feasibility and effectiveness of a modified LTAP flap for repairing partial breast defects after breast-conserving surgery. Methods In this study, we retrospectively analyzed the clinical data of 126 patients treated with LTAP flaps to repair local breast defects at Affiliated Hospital of Guangdong Medical University between January 2020 and June 2021. Data were collected on the demographic characteristics of these patients, tumor size and location, type of axillary lymph node surgery, availability of adjuvant chemotherapy and radiotherapy, and postoperative complications. Results The median weight of the tumor specimen was 185 g (range, 170–320 g), and this glandular tissue accounted for 30% to 40% of the total breast volume. The average flap size was 10.5 cm ×2.5 cm (length range, 8–15 cm, width range: 2–4 cm). The minimum follow-up time was 6 months, with an average of 10 months (range, 6–22 months). The mean operative time was 130 minutes (range: 90–180 minutes), and the mean hospital stay was 3 days (range, 2–5 days). All modified LTAP flaps survived completely without donor site complications. None of the patients required revision surgery on the postoperative breast. Conclusions The modified LTAP flap is a reliable method for repairing partial breast defects after breast-conserving surgery. It has the advantages of a simple operation, a reliable blood supply, fewer postoperative complications, and a high flap survival rate. It is especially suitable for Asian women with small breast volumes and can achieve good breast contouring effects.

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Section: Discussionmentioning

confidence: 99%