Investigation of the dorsolateral branch of the posterior intercostal artery for use as the pedicle of a free flap: A cadaveric study and case series
| العنوان: | Investigation of the dorsolateral branch of the posterior intercostal artery for use as the pedicle of a free flap: A cadaveric study and case series |
|---|---|
| المؤلفون: | Heung Chan Oh, Jung Yeol Seo, Su Bong Nam, Joo Hyoung Kim, Ji Yoon Sung, Min Wook Kim, Tae Seo Park, Jae Woo Lee |
| المصدر: | Archives of Plastic Surgery Archives of Plastic Surgery, Vol 46, Iss 1, Pp 39-45 (2019) |
| بيانات النشر: | Korean Society of Plastic and Reconstructive Surgeons, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Inferior angle of the scapula, lcsh:Surgery, Free flap, Dissection (medical), 030230 surgery, 03 medical and health sciences, 0302 clinical medicine, Cadaver, Reconstructive surgical procedures, medicine, Surgical Flaps, business.industry, Anatomy, lcsh:RD1-811, medicine.disease, medicine.anatomical_structure, Surgical flaps, Free tissue flaps, 030220 oncology & carcinogenesis, Surgery, Original Article, Intercostal space, Breast reconstruction, business, Cadaveric spasm |
| الوصف: | Background The dorsolateral branch of the posterior intercostal artery (DLBPI) can be easily found while harvesting a latissimus dorsi (LD) musculocutaneous flap for breast reconstruction. However, it remains unknown whether this branch can be used for a free flap and whether this branch alone can provide perfusion to the skin. We examined whether the DLBPI could be reliably found and whether it could provide sufficient perfusion. Methods We dissected 10 fresh cadavers and counted DLBPIs with a diameter larger than 2 mm. For each DLBPI, the following parameters were measured: distance from the lateral margin of the LD muscle, level of the intercostal space, distance from the spinal process, and distance from the inferior angle of the scapula. Results The DLBPI was easily found in all cadavers and was reliably located in the specified area. The average number of DLBPIs was 1.65. They were located between the seventh and eleventh intercostal spaces. The average length of the DLBPI between the intercostal space and the LD muscle was 4.82 cm. To assess the perfusion of the DLBPIs, a lead oxide mixture was injected through the branch and observed using X-rays, and it showed good perfusion. Conclusions The DLBPI can be used as a pedicle in free flaps for small defects. DLBPI flaps have some limitations, such as a short pedicle. However, an advantage of this branch is that it can be reliably located through simple dissection. For women, it has the advantage of concealing the donor scar underneath the bra band. |
| اللغة: | English |
| تدمد: | 2234-6171 2234-6163 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f24df466732a4dcfaade6aad0aade745 http://europepmc.org/articles/PMC6369044 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f24df466732a4dcfaade6aad0aade745 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22346171 22346163 |
|---|