Perforator topography of the thoracodorsal artery perforator flap.

摘要: Background: The anatomical topography of the perforators that pierce latissimus dorsi muscle fascia determines location and direction skin paddle thus ultimate design thoracodorsal artery perforator flap. full scope has not been provided in detail, usefulness from transverse branch elucidated. Methods: While harvesting flap, every reliable musculocutaneous derives was documented. number, location, topographic patterns were measured. Twenty-three patients (11 female 12 male), with a mean age 34.2 years, enrolled this prospective study. Results: A number 4.3 noted. Of 99 documented 23 muscles, 48 situated along course descending branches 30 branches. At least one found near lateral border muscle, but no located adjacent to medial four cases. Pedicles flaps, 24 branch, six dissected completely. average intramuscular 5.3 cm. Conclusions: results could be used as reference localization for safe efficient