Combined Latissimus Dorsi-Thoracodorsal Artery Perforator Free Flap: The ''Razor Flap''

ABSTRACT

Elevation of the skin island overlying the latissimus dorsi muscle, dissecting the dominant perforating vessel, permits independent positioning of the skin island in relation to the muscle. This combination of the thoracodorsal artery perforator (TAP) and the latissimus dorsi (LD) muscle flap expands the surface of the flap without increasing donor morbidity.

Perforator flap - thoracodorsal artery perforator flap - latissimus dorsi flap.

REFERENCES

• 1 Koshima I, Soeda S, Yamasaki M, Kyou J. The free or pedicled anteromedial thigh flap.  Ann Plast Surg . 1988;  21 480
• 2 Koshima I, Moriguchi T, Soeda S. The gluteal perforator-based flap for repair of sacral pressure sores.  Plast Reconstr Surg . 1993;  91 678
• 3 Angrigiani C, Grilli D, Siebert J. Latissimus dorsi musculocutaneous flap without muscle.  Plast Reconstr Surg . 1995;  96 1608
• 4 Lin C H, Wei F C. Widely split latissimus dorsi muscle flaps for reconstruction of long soft-tissue defects in the lower extremities.  Plast Reconstr Surg . 2000;  105 706
• 5 Spinelli H M, Fink J A, Muzaffar A R. The latissimus dorsi perforator-based fasciocutaneous flap.  Ann Plast Surg . 1996;  37 500
• 6 Kim D Y, Cho S Y, Kim K S. Correction of axillary burn scar contracture with the thoracodorsal perforator-based cutaneous island flap.  Ann Plast Surg . 2000;  44 181