Sensate thoracodorsal artery perforator flap: a focus on its preoperative design and harvesting technique.

Abstract:

BACKGROUND:Free sensate thoracodorsal artery perforator flaps that include the posterior divisions of the lateral cutaneous branches of the intercostal nerves have been described. The authors used preoperative color Doppler sonography to identify the nerves and demonstrate its clinical value. METHODS:Fourteen free sensate thoracodorsal artery perforator flaps were collected. Preoperative color Doppler sonography was used to identify the locations of thoracodorsal artery perforators and the courses of the posterior divisions of the lateral cutaneous branches of the intercostal neurovascular bundles. These posterior divisions were preserved on flaps and classified into three types. Type A and B nerves sprouted cutaneous perforating fascicles over the lateral region of the latissimus dorsi muscle. Type C nerves went through the region without any dominant perforating fascicle. RESULTS:Twenty-one nerves were mapped, and 24 were found during surgery. The sensitivity of preoperative color Doppler sonography was 87.5 percent. Of the 24 nerves, nine were type A (37.5 percent), 12 were type B (50 percent), and three were type C (12.5 percent). Ten of the 14 patients (sensate group) showed better tactile recovery at both the center and the periphery of flap than the other 10 patients who underwent reconstruction with nonsensate flaps. CONCLUSIONS:Preoperative color Doppler sonography is an indispensable tool for sensate thoracodorsal artery perforator flaps in locating the perforators and mapping the posterior divisions of the lateral cutaneous branches of the intercostal nerves. The information can be used to design and harvest sensate thoracodorsal artery perforator flaps, which are associated with earlier and better tactile recovery.

journal_name

Plast Reconstr Surg

authors

Lin CT,Yang KC,Hsu KC,Liu WC,Chen JS,Chen LW

doi

10.1097/PRS.0b013e3181909c34

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

163-174

issue

1

eissn

0032-1052

issn

1529-4242

pii

00006534-200901000-00023

journal_volume

123

pub_type

杂志文章
  • Expression of bone morphogenetic proteins during membranous bone healing.

    abstract::For the reconstructive plastic surgeon, knowledge of the molecular biology underlying membranous fracture healing is becoming increasingly vital. Understanding the complex patterns of gene expression manifested during the course of membranous fracture repair will be crucial to designing therapies that augment poor fra...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200101000-00018

    authors: Spector JA,Luchs JS,Mehrara BJ,Greenwald JA,Smith LP,Longaker MT

    更新日期:2001-01-01 00:00:00

  • Septum-Based Nasal Tip Plasty: A Comparative Study between Septal Extension Graft and Double-Layered Conchal Cartilage Extension Graft.

    abstract:BACKGROUND:The septal extension graft is currently the most commonly used primary and secondary rhinoplasty technique in Asia because it provides maximal tip projection and rotational controllability. The authors compared the tip projection amount and rotational controllability of the tip support between the septal ext...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003920

    authors: Suh YC,Jeong WS,Choi JW

    更新日期:2018-01-01 00:00:00

  • Prospective study of the accuracy of the surgeon's diagnosis in 2000 excised skin tumors.

    abstract::Expeditious yet efficacious removal of skin tumors is a common responsibility for the plastic surgeon. The need to minimize potential risks for mortality or morbidity from undue or excessive surgical resections and to control costs by avoiding unnecessary procedures behooves us to make a precise clinical diagnosis pre...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199804050-00014

    authors: Hallock GG,Lutz DA

    更新日期:1998-04-01 00:00:00

  • A 30-year experience with vertical mammaplasty.

    abstract::In 1964, I started using vertical mammaplasty without a submammary scar for all breast reductions. This technique was based on the following principles: a central wedge resection, an upper pedicle for the areola, no undermining, and a vertical scar to finish off. Because of the drawings, there was a pitfall: In large ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199602000-00015

    authors: Lassus C

    更新日期:1996-02-01 00:00:00

  • A methodological analysis of the plastic surgery cost-utility literature using established guidelines.

    abstract:BACKGROUND:Cost-utility studies, common in medicine, are rare within plastic surgery despite their capability of measuring the value of procedures by considering the societal costs of improving quality of life. The objectives of this study were to analyze the design quality of the plastic surgery cost-utility literatur...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000004

    authors: Tessler O,Mattos D,Vorstenbosch J,Jones D,Winograd JM,Liao EC,Austen WG Jr

    更新日期:2014-04-01 00:00:00

  • Improvement of patency in small veins following dextran and/or low-molecular-weight heparin treatment.

    abstract::A clinical dose of dextran 70 had significant antithrombotic effects in small, severely traumatized veins, and the effect was enhanced by the addition of low-molecular-weight heparin. These effects were achieved without bleeding problems in this model. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199408000-00021

    authors: Zhang B,Wieslander JB

    更新日期:1994-08-01 00:00:00

  • The free flap and plate in oromandibular reconstruction: long-term review and indications.

    abstract::The purpose of this study was to define the role of reconstruction plates as bone replacement in oromandibular reconstruction. From 1987 through 1991, 71 consecutive oral cancer patients underwent composite resection and reconstruction and were entered into one of two studies. In the first study of 31 patients, 15 und...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199505000-00010

    authors: Boyd JB,Mulholland RS,Davidson J,Gullane PJ,Rotstein LE,Brown DH,Freeman JE,Irish JC

    更新日期:1995-05-01 00:00:00

  • Simple maxillary reconstruction using free tissue transfer and prostheses.

    abstract::Prosthetic rehabilitation is essential for maintaining postoperative oral function after maxillary reconstruction. However, the maxillary prosthesis becomes unstable in some patients because of extensive palatomaxillary resection and drooping of the transferred flap. In such patients, maintaining sufficient oral funct...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000041941.98504.B6

    authors: Sakuraba M,Kimata Y,Ota Y,Uchiyama K,Kishimoto S,Harii K,Ebihara S

    更新日期:2003-02-01 00:00:00

  • Advanced cranial reconstruction using intracranial free flaps and cranial bone grafts: an algorithmic approach developed from the modern battlefield.

    abstract:BACKGROUND:The objective of this study was to report outcomes after initiation of an algorithmic approach (Bethesda protocol) using intracranial free flaps, cranial bone autografts, and dermal/fat grafts to treat warfare-related cranial frontofacial defects after war-related decompressive craniectomy. METHODS:A retros...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318267d5cb

    authors: Kumar AR,Tantawi D,Armonda R,Valerio I

    更新日期:2012-11-01 00:00:00

  • DIEP and pedicled TRAM flaps: a comparison of outcomes.

    abstract:BACKGROUND:Studies comparing similar and sizable numbers of deep inferior epigastric perforator (DIEP) and pedicled transverse rectus abdominis musculocutaneous (TRAM) flap reconstructions are lacking. The authors hoped to determine whether the DIEP flap has advantages over the pedicled TRAM flap for breast reconstruct...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000210679.77449.7d

    authors: Garvey PB,Buchel EW,Pockaj BA,Casey WJ 3rd,Gray RJ,Hernández JL,Samson TD

    更新日期:2006-05-01 00:00:00

  • Use of Routine Pathologic Evaluation of Nonmalignant Lesions in Hand Surgery: A National Study.

    abstract:BACKGROUND:Most lesions of the upper extremity are common and benign, and many have questioned the need for routine pathologic evaluation of these specimens. The authors aim to examine the national use of routine pathologic examination of nonmalignant hand lesions to help guide health care policy and practice patterns....

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004592

    authors: Cho HE,Kelley B,Zhong L,Chung KC

    更新日期:2018-08-01 00:00:00

  • A variation of the vascular pedicle of the latissimus dorsi muscle.

    abstract::A case of a rare variation of the vascular pedicle of the latissimus dorsi musculocutaneous flap is described. Its main vascular pedicle was the circumflex scapular vessel. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199112000-00021

    authors: Satoh K,Ohkubo F,Tojima Y

    更新日期:1991-12-01 00:00:00

  • Factors Associated with Primary and Secondary Amputation following Limb-Threatening Upper Extremity Trauma.

    abstract:BACKGROUND:The aim of this study was to assess the factors associated with primary and secondary amputation in patients with limb-threatening trauma to the upper extremity, describe the incidence of these injuries, and describe the procedures involved in the treatment of these difficult injuries. METHODS:A retrospecti...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PRS.0000000000006644

    authors: Nawijn F,Westenberg RF,Langhammer CG,Chen NC,Eberlin KR

    更新日期:2020-04-01 00:00:00

  • Reaction to injectable collagen: results in animal models and clinical use.

    abstract::Since its commercial release, Zyderm collagen implant has been used to treat more than 200,000 subjects in the United States for soft-tissue contour defects and more than 250,000 patients internationally (including the United States). Approximately 3 percent of subjects' skin tested with Zyderm collagen experience loc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: DeLustro F,Smith ST,Sundsmo J,Salem G,Kincaid S,Ellingsworth L

    更新日期:1987-04-01 00:00:00

  • Free proximal gracilis muscle and its skin paddle compound flap transplantation for complex facial paralysis.

    abstract::Gracilis functioning free-muscle transplantation for the correction of pure facial paralysis has been a preferred method used by many reconstructive microsurgeons. However, for complex facial paralysis, the deficits include facial paralysis along with soft-tissue, mucosa, and/or skin defects. No adequate solution has ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000096092.09655.63

    authors: Chuang DC,Mardini S,Lin SH,Chen HC

    更新日期:2004-01-01 00:00:00

  • The cocaine user: the potential problem patient for rhinoplasty.

    abstract::The current popularity of cocaine use poses special hazards for the patient and the plastic surgeon during rhinoplasty. It is incumbent upon the surgeon to inquire preoperatively about possible recreational use of cocaine. As the preferred site of cocaine administration, the nasal septal mucosa is exposed to both the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Slavin SA,Goldwyn RM

    更新日期:1990-09-01 00:00:00

  • Penile Inversion Vaginoplasty with or without Additional Full-Thickness Skin Graft: To Graft or Not to Graft?

    abstract:BACKGROUND:Penile inversion vaginoplasty is considered to be the gold standard for gender reassignment surgery in transgender women. The use of additional full-thickness skin graft as neovaginal lining is controversial. Some believe that having extra penile skin for the vulva gives better aesthetic results. Others beli...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003108

    authors: Buncamper ME,van der Sluis WB,de Vries M,Witte BI,Bouman MB,Mullender MG

    更新日期:2017-03-01 00:00:00

  • A prospective study of the relationship between strabismus and head posture in patients with frontal plagiocephaly.

    abstract::A prospective study was performed on 16 unoperated patients with frontal plagiocephaly to characterize the relationship between strabismus and abnormal head posture. Serial eye examinations were performed preoperatively and for 24 to 46 months following fronto-orbital advancement. In 14 patients (88 percent), preopera...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199604001-00001

    authors: Gosain AK,Steele MA,McCarthy JG,Thorne CH

    更新日期:1996-04-01 00:00:00

  • Histologic, histochemical, and ultrastructural analysis of soft tissues from cleft and normal lips.

    abstract::The cause of cleft lip remains speculative. The nature and extent of pathophysiologic changes in cleft lip muscle are controversial. This study was undertaken to better understand the developmental processes at work. There were two groups of patients. In group 1, 40 fresh tissue specimens were taken from 22 patients w...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200109010-00002

    authors: de Chalain T,Zuker R,Ackerley C

    更新日期:2001-09-01 00:00:00

  • Randomized comparison of the single-injection volar subcutaneous block and the two-injection dorsal block for digital anesthesia.

    abstract:BACKGROUND:Two commonly used methods of digital nerve block with local anesthetic are the two-injection dorsal technique and the single-injection volar subcutaneous technique. The authors compared these two digital block techniques with respect to local anesthetic injection pain and recipient preference of anesthetic t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.prs.0000237016.00941.96

    authors: Williams JG,Lalonde DH

    更新日期:2006-10-01 00:00:00

  • Rigid internal fixation in the hand: 104 cases.

    abstract::One-hundred and four patients with fractures of the metacarpals and phalanges have been treated with rigid internal fixation over a 6-year period. Patients with both open and closed injuries had their fractures fixed by tension band wires, interosseous compression screws (lag screws), or plates and screws. The concept...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198602000-00022

    authors: Jabaley ME,Freeland AE

    更新日期:1986-02-01 00:00:00

  • Three- and four-dimensional computed tomography angiographic studies of commonly used abdominal flaps in breast reconstruction.

    abstract:BACKGROUND:The innovative technique of three- and four-dimensional computed tomographic angiography allows us to analyze the areas of perfusion in commonly used free abdominal flaps in breast reconstruction, such as pedicled transverse rectus abdominis musculocutaneous (TRAM) flaps, full TRAMs, muscle-sparing TRAMs, an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181aa0db8

    authors: Wong C,Saint-Cyr M,Arbique G,Becker S,Brown S,Myers S,Rohrich RJ

    更新日期:2009-07-01 00:00:00

  • Calcification properties of saline-filled breast implants.

    abstract::Three patients requested explantation of their saline-filled breast implants. Bilateral calcification had occurred in all six implants. Four of the implants were manufactured by McGhan Corporation (Santa Barbara, Calif.), and two, by the Simaplast Company (Toulon, France). All implants had been inserted in the subglan...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200102000-00010

    authors: Peters W,Smith D,Lugowski S,Pritzker K,Holmyard D

    更新日期:2001-02-01 00:00:00

  • Aneurysmal bone cyst of the orbit associated with fibrous dysplasia.

    abstract::Aneurysmal bone cyst is a rare but recognized osseous lesion of the orbit. We report the presentation, treatment, and postoperative course of an orbital aneurysmal bone cyst in a patient with McCune-Albright syndrome. To our knowledge, this report represents the first description of aneurysmal bone cyst of the orbit i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199508000-00029

    authors: Lucarelli MJ,Bilyk JR,Shore JW,Rubin PA,Yaremchuk MJ

    更新日期:1995-08-01 00:00:00

  • Transfer of vascularized extensor tendons from the foot to the hand with a dorsalis pedis flap.

    abstract::The use of the dorsalis pedis flap with vascularized extensor tendons was presented. An anatomic study has been carried out that has shown that the vascularization of the foot extensor tendons can be exclusively dependent on the blood contribution coming from the dorsalis pedis artery. In two cases that are presented ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198509000-00015

    authors: Vila-Rovira R,Ferreira BJ,Guinot A

    更新日期:1985-09-01 00:00:00

  • Soft-tissue sarcomas of the upper extremity: surgical treatment and outcome.

    abstract::The objective of this retrospective follow-up study was to evaluate the outcome of patients with soft-tissue sarcoma treated by the authors' protocol, which consists of a selective combination of conservative surgery and radiotherapy. Patients who relapsed were especially evaluated to improve treatment results. The au...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000095946.90511.1D

    authors: Popov P,Tukiainen E,Asko-Seljavaara S,Huuhtanen R,Virolainen M,Virkkunen P,Blomqvist C

    更新日期:2004-01-01 00:00:00

  • Evaluation of HTR polymer as a craniomaxillofacial graft material.

    abstract::An experimental animal study was undertaken to evaluate the potential use of HTR polymer as a craniomaxillofacial reconstructive material. Its properties of marked hydrophilicity, a negative surface charge, and extensive porosity combined with a calcium graft coating suggested favorable osteoconductive properties. Fou...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199012000-00006

    authors: Eppley BL,Sadove AM,German RZ

    更新日期:1990-12-01 00:00:00

  • The forearm flap.

    abstract::We present our experimental and clinical experiences with the free neurovascular forearm flap. The flap is based on the radial artery, one of the great veins of the forearm (cephalic, basilic, or interconnecting vein), and one or two cutaneous forearm nerves (ulnar, median, or lateral). Because of the standard anatomy...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198209000-00007

    authors: Mühlbauer W,Herndl E,Stock W

    更新日期:1982-09-01 00:00:00

  • Free anterolateral thigh flaps for reconstruction of head and neck defects.

    abstract::The anterolateral thigh flap is a septocutaneous artery flap based on the septocutaneous or muscle perforators of the lateral circumflex femoral system. Little has been reported about the variations in its vascular anatomy and its application for head and neck reconstruction. We report 22 cases in which this flap was ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Koshima I,Fukuda H,Yamamoto H,Moriguchi T,Soeda S,Ohta S

    更新日期:1993-09-01 00:00:00

  • Improved healing of microvascular PTFE prostheses by induction of a clot layer: an experimental study in rats.

    abstract::This study was undertaken to test the hypothesis that the induction of a clot layer on the graft surface of microvascular polytetrafluoroethylene (PTFE) prostheses might improve their healing. PTFE microvascular prostheses (n = 18), mechanically roughened PTFE microvascular prostheses (n = 18), and Chitosan-impregnate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198912000-00016

    authors: van der Lei B,Wildevuur CR

    更新日期:1989-12-01 00:00:00