USE OF THE LATISSIMUS DORSI MYOCUTANEOUS FLAP IN HEAD AND NECK RECONSTRUCTION

1993 ◽  
Vol 86 (Supplement) ◽  
pp. 92
Author(s):  
Mark K. Wax ◽  
Dale H. Brown
1988 ◽  
Vol 102 (12) ◽  
pp. 1127-1132 ◽  
Author(s):  
C. R. Chowdhury ◽  
N. R. Mclean ◽  
K. Harrop-Griffiths ◽  
N. M. Breach

AbstractThere are many different flaps available for head and neck reconstruction. The latissimus dorsi myocutaneous flap has been widely used in this unit on 80 occasions in the past three years, both as a pedicled and as a free microvascular flap following the excision of head and neck malignancy, the commonest pathology being intraoral squamous cell carcinoma.There were nine cases of complete or substantial flap loss requiring a further reconstructive procedure. Few of the patients who underwent total glossectomy suffered from overspill or aspiration and the fistula rate was low.Reference is made to the anatomy and the technique of raising this versatile flap which provides a large volume of tissue and has been particularly useful following total glossesctomy when combined with a hyoid hitch.


2019 ◽  
pp. 413-422
Author(s):  
David H. Song ◽  
Deana S. Shenaq ◽  
Jesse Smith

The latissimus dorsi myocutaneous flap for free tissue transfer has been and continues to be a workhorse for head and neck reconstruction. This chapter provides the indications and contraindications for its use and serves also to provide knowledge of its anatomy and dissection schema. The use of this flap for head and neck reconstruction allows for composite tissue transfers and lends well to a chimeric reconstruction where multiple different types of tissues (bone, skin, muscle, fascia) can be carried via a single pedicle. It also serves a role in functional restoration in facial reanimation.


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