The Low Transverse Extended Latissimus Dorsi Flap Based on Fat Compartments of the Back for Breast Reconstruction: Anatomical Study and Clinical Results

Bailey SH, Saint-Cyr M, Oni G, et al (Univ of Texas Southwestern Med Ctr at Dallas; Univ of Lyon, France) Plast Reconstr Surg 128:382e-394e, 2011^§

Abstract

Background

Despite many modifications to the extended latissimus dorsi flap, its use in autologous breast reconstruction remains limited because of insufficient volume and donor-site morbidity. Through a detailed analysis of the deposition of back fat, this study describes a low transverse extended latissimus dorsi flap harvest technique that increases flap volumes and improves donor-site aesthetics.

Methods

Eight fresh cadaver hemibacks were used to identify the anatomical location of the fat compartments. Correlation between the fat compartments and the fat folds was made using photographic analysis of 216 patients. Retrospective case note review was conducted of all patients who had a low transverse extended latissimus dorsi flap performed by the senior author (M.S.-C.).

Results

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