Letter to the Editor: Thoraco-Acromial Artery Perforator (Taap) Flap for Reconstruction of a Recurrent Dermatofibrosarcoma Protuberans of the Clavicular Region

Schönauer, Fabrizio; Cavaliere, Annachiara; Pezone, Giuseppe; D’Andrea, Francesco

doi:10.57604/prrs-083

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…Since its introduction, the FALD flap received outstanding attention because it represents a totally autologous reconstruction, is easy to harvest, and does not need microsurgical experience. [22][23][24] With the proper patient selection, this flap can guarantee a pleasant aesthetic outcome and adequate breast volume in a single operative session. 25 As a result, the FALD flap has become increasingly popular and utilized.…”

Section: Discussionmentioning

confidence: 99%

The Ergonomic FALD Flap for One-stage Total Breast Reconstruction

Longo,

D’Orsi,

Giacalone

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: The fat-augmented latissimus dorsi (FALD) flap combines this pedicled flap with immediate intraoperative fat transfer. Very little is described concerning its inset at the mammary site. Our efforts have concentrated on seeking the best flap orientation and skin-adipose paddle shaping, to improve the aesthetic outcome and to obtain a complete breast reconstruction (BR) in one stage. Methods: A prospective clinical study was performed in patients who underwent BR with FALD flaps, between December 2020 and March 2022. Patients were randomly enrolled into two groups: ergonomic inset of the FALD flap with vertical orientation of the skin-adipose paddle (group A) and FALD flap with traditional horizontal paddle orientation (group B). The study’s endpoints were the evaluation of the aesthetic outcomes (from patients’ and surgeon’s perspectives) and complications. Results: Thirty-two FALD flaps (23 patients) were performed for group A, and 31 FALD flaps (25 patients) for group B. The two groups were homogeneous in terms of demographic and surgical data (P > 0.05). The overall complication rate was homogeneous among the groups, without statistically significant differences (P = 1.00). The surgeon’s assessments showed a statistically significant superior aesthetic outcome in group A regarding volume, symmetry, and shape (P < 0.05). Higher satisfaction was observed in group A patients, in terms of breast size (P < 0.00001), shape (P = 0.0049), and overall satisfaction (P = 0.00061). Conclusions: The ergonomic vertical FALD flap technique enables surgeons to perform one-stage total BR, with excellent breast projection and upper pole fullness. These refinements in flap shaping and molding reduced the need for further autologous fat transfer, obtaining a brilliant totally autologous BR without the need for microsurgical experience.

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Section: Discussionmentioning

confidence: 99%

The Ergonomic FALD Flap for One-stage Total Breast Reconstruction

Longo,

D’Orsi,

Giacalone

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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“…However natural anti-E autoantibodies may appear in patients with no known history of transfusion, nor pregnancy 17 . Given the severity and the extent of the defect, a free flap reconstruction was indicated [18][19][20][21] . The patient was informed on the risks inherent to the procedure and his hypercoagulable state and accepted to undergo the surgery.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical Reconstruction of Lower Extremity in Homozygosity of C677t MTHFR Gene Mutation: Case Report and Review of the Literature

Longo

Giacalone²,

D’Orsi³

et al. 2022

PRRS

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“…Nevertheless, there do exist more reconstructive options which are indicated to patients with high-risk comorbidities 4 , contraindications to microsurgery 5,6 , and either insufficient or inappropriate abdominal tissue for DIEP flap 7 . FALD flap represents a suitable alternative in such cases as, being a myocutaneous flap 8 , it offers a huge availability of soft tissues and gives the plastic surgeon the possibility of a total autologous reconstruction of small to moderate sized breasts without implants [9][10][11][12][13] . The latissimus dorsi (LD) muscle, muscular component of FALD flap, is a wide triangular structure originating on the spine and ilium and extending across the upper and mid-back to insert on the humerus 14 .…”

Section: Introductionmentioning

confidence: 99%