Free Latissimus Dorsi Muscle Flap with Split-Thickness Skin Graft Cover

Gordon, Lewis R.; Buncke, Harry J.; Alpert, Bernard S.

doi:10.1097/00006534-198208000-00008

Cited by 86 publications

(26 citation statements)

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“…Accurate and timely recognition of compromise enabled the flap salvage, which can increase the flap survival rate. Various adjunctive monitoring methodologies have been studied to facilitate more rapid and definite monitoring than clinical examinations, including implantable Doppler, tissue oximetry, microdialysis, and color duplex sonography . However, these approaches have several limitations, such as high cost, difficulty in performing the examination, and interexaminer variance; hence, they are not widely used .…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9][10][11] One commonly used method of reconstruction for large, subtotal scalp defects is the free latissimus dorsi muscle flap covered with skin graft. [12][13][14][15][16] Unlike other myocutaneous flaps, this method results in less bulkiness and excellent contours. Additionally, a skin graft cover on the muscle flap instead of the cutaneous component is beneficial for the donor wound because it does not require a graft to the donor site.…”

Section: Introductionmentioning

confidence: 99%

“…One commonly used method of reconstruction for large, subtotal scalp defects is the free latissimus dorsi muscle flap covered with skin graft . Unlike other myocutaneous flaps, this method results in less bulkiness and excellent contours.…”

Section: Introductionmentioning

confidence: 99%

“…Unlike other myocutaneous flaps, this method results in less bulkiness and excellent contours. Additionally, a skin graft cover on the muscle flap instead of the cutaneous component is beneficial for the donor wound because it does not require a graft to the donor site . Clinically, however, a free muscle flap with skin graft is difficult to monitor because it does not contain skin paddle and the grafted skin impedes effective monitoring of the underlying muscle flap.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of small monitoring skin paddle in free muscle flap for scalp reconstruction

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of small monitoring skin paddle in free muscle flap for scalp reconstruction

et al. 2018

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“…The skin and subcutaneous tissue overlying these muscles are reliable, and success rates for transfer of these flaps have become high. [1][2][3][4][5] As free transfer of these workhorse flaps becomes more routine, attention can focus on refining the quality of the reconstruction. One major aesthetic consideration is optimal contour match.…”

mentioning

confidence: 99%

Muscle free flaps with full‐thickness skin grafting: Improved contour over traditional musculocutaneous free flaps

Chang

2001

Microsurgery

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Occasionally, the aesthetic contour of a musculocutaneous flap can be improved by using the skin paddle as a full-thickness skin graft to cover the free muscle flap. In three patients, traditional musculocutaneous free flap coverage of wounds would have resulted in excess soft tissue bulk. To optimize final contour, the subcutaneous tissue was excised, and the skin replaced as a full-thickness skin graft. Problems with postoperative flap monitoring and skin graft take were not encountered. This technique offers the microsurgeon a simple method to optimize the aesthetic results of composite free tissue transfer.

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Scalp and Forehead Reconstruction Using Free Revascularized Tissue Transfer

Beasley

Gilbert

Gullane

et al. 2004

Archives of Facial Plastic Surgery

142

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To examine the indications for, and the success of, free flap reconstruction in patients with forehead and scalp defects. Design: Case series. Setting: Two tertiary referral university teaching hospitals. Patients: Twenty-six consecutive patients, aged 31 to 85 years, presenting with 26 scalp defects, 5 forehead defects, and 1 combined defect (size, 70-672 cm 2). Three patients required resection and repair of the dura at surgery. Intervention: Patients were staged according to the size of the defect and the viability of surrounding tissue; free flap reconstruction was performed where indicated. Main Outcome Measures: Flap survival, complications, and disease-free and overall survival. Results: Thirty-four free flap reconstructions were performed (24 latissimus dorsi free flaps, 4 scapular free flaps, 3 rectus abdominis free flaps, and 3 radial forearm free flaps). One failed 2 weeks postoperatively, and 2 required exploration (1 for arterial ischemia and 1 for a hematoma). There were 3 cases of donor site morbidity (2 early seromas and 1 late abdominal hernia). One patient died of a pulmonary embolus 1 week postoperatively. Disease-free survival was 48% at 5 years and overall survival was 59% at 5 years, with a median follow-up of 24 months. Conclusions: Free revascularized tissue transfer is a reliable and safe way of reconstructing large scalp or forehead defects after traumatic injury or neoplastic resection. The muscle-only latissimus dorsi free flap for scalp reconstruction and the cutaneous scapular free flap for the forehead have proved successful in selected patients with a low complication rate and satisfactory cosmesis.

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Free Latissimus Dorsi Muscle Flap with Split-Thickness Skin Graft Cover

Cited by 86 publications

References 0 publications

Effectiveness of small monitoring skin paddle in free muscle flap for scalp reconstruction

Effectiveness of small monitoring skin paddle in free muscle flap for scalp reconstruction

Muscle free flaps with full‐thickness skin grafting: Improved contour over traditional musculocutaneous free flaps

Scalp and Forehead Reconstruction Using Free Revascularized Tissue Transfer

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