The arc of rotation for the thoracodorsal artery perforator was defined fig. In contrast to the other wellknown diep deep inferior epigastric perforator and sgap superior gluteal artery perforator. The thoracodorsal artery perforator flap request pdf. The thoracodorsal artery perforator tdap flap has emerged as one of the ideal perforator flaps. The detailed surgical technique with its variations is explained in this report. The intercostals perforator is noted to join the thoracodorsal artery by a connecting vessel. The flap offers an arc of 90 degrees clock wise and counterclockwise. Autologous breast reconstruction thoracodorsal artery perforator flap. This perforator can be included and cut at the distal end, that is, towards its origin from the intercostals artery.
All the flaps were based on a single perforator artery 17 cases, 85%, except in 3 cases 15% in which 2 perforators from the same vertical branch of the thoracodorsal artery were isolated and used. Thoracodorsal artery perforator flap for extremity. The thoracodorsal artery perforator flap is a cutaneous flap based on cutaneous perforators of the thoracodorsal vessels. Inclusion of the intercostal artery perforator at the distal end of the flap.
Extended thoracodorsal artery perforator flap for breast reconstruction. Thoracodorsal artery perforator flap in breast reconstruction. The propeller, flipover, conventional perforator, and musclesparing flaps have been. The facial artery, the biggest perforator vessel of the body presenters. Preoperative ultrasonography or computed tomography angiography is usually used to help identify perforators on which to base the flap.
Pdf transaxillary thoracodorsal artery perforator flap. The flap was trans posed onto the breast anterolateral and pos terolateral chest wall fig. For example, when a large thoracodorsal artery perforator flap is planned, it must be planned over the latissimus dorsi muscle to incorporate neighboring. Use of thoracodorsal artery perforator flaps to enhance outc. Transaxillary thoracodorsal artery perforator flap. The thoracodorsal artery perforator scapular osteocutaneous tdapsoc flap for reconstruction of palatal and maxillary defects. Pdf shoulder function after harvesting a thoracodorsal. Thoracodorsal artery an overview sciencedirect topics. Only one flap was debulked with suction assisted lipectomy at a second stage. The flap is designed based on the location of potential perforators, the defect size, and the ability to close the donor site primarily.
Since angrigiani et al described the concept of the thoracodorsal artery perforator flap, the harvesting technique of the latissimus dorsi musculocutaneous flap. We, hereby, describe its versatility in indications freepedicled. Chimeric thoracodorsal lymph node flap with a perforator. The objective of this study was to document the vascular anatomy of this. Shoulder function after harvesting a thoracodorsal artery perforator flap.