Mini Review
Volume 3 Issue 10 - 2020
The Pedicled Latissimus Dorsi Myocutaneous Flap for Reconstruction in Head and Neck Surgery. Mini Review
Andrés C Limardo*, Luis Blanco, Jose Menendez and Adrían Ortega
General Surgery Department, Head and Neck Surgery Service. Prof. A. Posadas Hospital, El Palomar, Buenos Aires, Argentina
*Corresponding Author: Andrés C Limardo, General Surgery Department, Head and Neck Surgery Service. Prof. A. Posadas Hospital, El Palomar, Buenos Aires, Argentina.
Received: October 07, 2020; Published: September 29, 2020




Abstract

The pedicled latissimus dorsi myocutaneous flap (PLDMF) is long vascular pedicled myocutaneous flap, which allows it to reach virtually any region in the head, neck, and scalp and its large surface area make this flap especially useful for secondary head and neck reconstruction. For areas beyond the range of pectoralis major flap, PLDMF is also used as a primary reconstructive procedure when a free flap is not available or not possible. Donor site morbidity after PLDMF procedure is minimal in almost cases. The latissimus dorsi muscle flap is an axial flap, highly reliable, and easy to harvest. Depending on the defect, the flap may be used as a muscle, musculocutaneous, osteomyocutaneous, or as a thoracodorsal artery perforator (TDAP) flap. Due to its large quantity of muscle, this flap may be used for large defects of the lateral skull base, scalp, and craniofacial area, reconstruction of total glossectomy defects, complex reconstruction including the mandible or the maxilla or as a “backup” flap.

Keywords: Pedicled Latissimus Dorsi Myocutaneous Flap; Head and Neck Reconstruction; Plastic Surgery

References

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Citation: Andrés C Limardo., et al. “The Pedicled Latissimus Dorsi Myocutaneous Flap for Reconstruction in Head and Neck Surgery. Mini Review”. EC Clinical and Experimental Anatomy 3.10 (2020): 10-16.

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