Thoracodorsal Artery Perforator (Tdap) Flap



Thoracodorsal Artery Perforator (Tdap) Flap


C. ANGRIGIANI





This flap was originally described in 1995 as a method for diminishing the volume of the conventional latissimus dorsi myocutaneous flap (1). Various methods had been previously described to split the muscle, either longitudinally or transversely, to diminish flap bulk (2, 3). The same area of skin and subcutaneous tissue island can be harvested without the muscle, using the perforator-flap technique.

The thoracodorsal artery perforator (TDAP) flap is another example of the independence of the skin paddle from the underlying muscle from the standpoint of irrigation.