eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Reconstructive Surgery

Latissimus Myocutaneous Flap: Multimedia

Author: Stewart C Little, MD, Resident Physician, Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System
Coauthor(s): Mark J Jameson, MD, PhD, Assistant Professor, Division of Head and Neck Surgical Oncology, Department of Otolaryngology–Head and Neck Surgery, University of Virginia Health System; Alain Polynice, MD, Staff Physician, Department of Plastic Surgery, Lincoln Hospital, Cornell University; Allison Pontius, MD, Staff Physician, Department of Otorhinolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center; Edward W Buchel, MD, Associate Professor of Surgery, Section of Plastic Surgery, University of Manitoba Faculty of Medicine; Head, Consulting Staff, Winnipeg Health Sciences Centre, Canada
Contributor Information and Disclosures

Updated: Aug 7, 2008

Multimedia

Outline of latissimus dorsi muscle and skin islan...Media file 1: Outline of latissimus dorsi muscle and skin island.
Outline of latissimus dorsi muscle and skin islan...

Outline of latissimus dorsi muscle and skin island.

Arterial blood supply to the latissimus dorsi mus...Media file 2: Arterial blood supply to the latissimus dorsi muscle.
Arterial blood supply to the latissimus dorsi mus...

Arterial blood supply to the latissimus dorsi muscle.

Harvest and arc of rotation of the latissimus dor...Media file 3: Harvest and arc of rotation of the latissimus dorsi myocutaneous flap.
Harvest and arc of rotation of the latissimus dor...

Harvest and arc of rotation of the latissimus dorsi myocutaneous flap.

Relationship of arteries, veins, and nerves from ...Media file 4: Relationship of arteries, veins, and nerves from the axilla to the latissimus dorsi muscle.
Relationship of arteries, veins, and nerves from ...

Relationship of arteries, veins, and nerves from the axilla to the latissimus dorsi muscle.

More on Latissimus Myocutaneous Flap

References

References

  1. Quillen CG, Shearin JC Jr, Georgiade NG. Use of the latissimus dorsi myocutaneous island flap for reconstruction in the head and neck area: case report. Plast Reconstr Surg. Jul 1978;62(1):113-7. [Medline].

  2. Barton FE Jr, Spicer TE, Byrd HS. Head and neck reconstruction with the latissimus dorsi myocutaneous flap: anatomic observations and report of 60 cases. Plast Reconstr Surg. Feb 1983;71(2):199-204. [Medline].

  3. Blackwell KE. Unsurpassed reliability of free flaps for head and neck reconstruction. Arch Otolaryngol Head Neck Surg. Mar 1999;125(3):295-9. [Medline].

  4. Cho BC, Lee JH, Ramasastry SS, et al. Free latissimus dorsi muscle transfer using an endoscopic technique. Ann Plast Surg. Jun 1997;38(6):586-93. [Medline].

  5. Disa JJ, Rodriguez VM, Cordeiro PG. Reconstruction of lateral skull base oncological defects: the role of free tissue transfer. Ann Plast Surg. Dec 1998;41(6):633-9. [Medline].

  6. Har-El G, Bhaya M, Sundaram K. Latissimus dorsi myocutaneous flap for secondary head and neck reconstruction. Am J Otolaryngol. Sep-Oct 1999;20(5):287-93. [Medline].

  7. Kalavrezos N, Hardee PS, Hutchison IL. Reconstruction of through-and-through osteocutaneous defects of the mouth and face with subscapular system flaps. Ann R Coll Surg Engl. Jan 2005;87(1):45-52. [Medline].

  8. Kelly MB, Searle A. Improving the donor site cosmesis of the latissimus dorsi flap. Ann Plast Surg. Dec 1998;41(6):629-32. [Medline].

  9. Missana MC, Pomel C. Endoscopic latissimus dorsi flap harvesting. Am J Surg. Aug 2007;194(2):164-9. [Medline].

  10. Pohlenz P, Blessmann M, Heiland M, et al. Postoperative complications in 202 cases of microvascular head and neck reconstruction. J Craniomaxillofac Surg. Sep-Oct 2007;35(6-7):311-5. [Medline].

  11. Quillen CG. Latissimus dorsi myocutaneous flaps in head and neck reconstruction. Plast Reconstr Surg. May 1979;63(5):664-70. [Medline].

  12. Safak T, Akyurek M, Yuksel E, et al. Head and neck reconstruction with the latissimus dorsi musculocutaneous pedicled flap: functional preservation of the muscle by staged transfer. Ann Plast Surg. Aug 1998;41(2):156-61. [Medline].

  13. Schwabegger A, Ninkovic M, Brenner E, et al. Seroma as a common donor site morbidity after harvesting the latissimus dorsi flap: observations on cause and prevention. Ann Plast Surg. Jun 1997;38(6):594-7. [Medline].

  14. Serra MP, Longhi P, Carminati M, et al. Microsurgical scalp and skull reconstruction using a combined flap composed of serratus anterior myo-osseous flap and latissimus dorsi myocutaneous flap. J Plast Reconstr Aesthet Surg. 2007;60(10):1158-61. [Medline].

  15. Spiegel JH, Polat JK. Microvascular flap reconstruction by otolaryngologists: prevalence, postoperative care, and monitoring techniques. Laryngoscope. Mar 2007;117(3):485-90. [Medline].

  16. Wolff K-D, Holzle F. Latissimus Dorsi Flap. In: Raising of microvascular flaps: a systematic approach. Berlin: Springer; 2005:65-82.

  17. Yugueros P, Finical SJ, Johnson CH. Use of microvascular free-tissue transfer following ablative surgery of the skull base. J Reconstr Microsurg. Jan 2000;16(1):3-6. [Medline].

Further Reading

Keywords

latissimus dorsi myocutaneous flap, LDMF, muscle transfer, muscle flap, free flap, head reconstruction, neck reconstruction, reconstructive surgery, free tissue transfer, soft tissue defect, pedicled flap, pedicled latissimus dorsi flap, myocutaneous flap, composite osteomyocutaneous cutaneous flap

Contributor Information and Disclosures

Author

Stewart C Little, MD, Resident Physician, Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System
Stewart C Little, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Medical Association, and American Medical Student Association/Foundation
Disclosure: Nothing to disclose.

Coauthor(s)

Mark J Jameson, MD, PhD, Assistant Professor, Division of Head and Neck Surgical Oncology, Department of Otolaryngology–Head and Neck Surgery, University of Virginia Health System
Mark J Jameson, MD, PhD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Association for Cancer Research, American Head and Neck Society, American Medical Association, Medical Society of Virginia, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

Alain Polynice, MD, Staff Physician, Department of Plastic Surgery, Lincoln Hospital, Cornell University
Alain Polynice, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, and New York County Medical Society
Disclosure: Nothing to disclose.

Allison Pontius, MD, Staff Physician, Department of Otorhinolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center
Allison Pontius, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and American Medical Association
Disclosure: Nothing to disclose.

Edward W Buchel, MD, Associate Professor of Surgery, Section of Plastic Surgery, University of Manitoba Faculty of Medicine; Head, Consulting Staff, Winnipeg Health Sciences Centre, Canada
Edward W Buchel, MD is a member of the following medical societies: American College of Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Terance (Terry) Ted Tsue, MD, Vice-Chairman for Administrative Affairs, Professor, Residency Program Director, Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine
Terance (Terry) Ted Tsue, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society for Head and Neck Surgery, Association for Research in Otolaryngology, Johns Hopkins Medical and Surgical Association, Missouri State Medical Association, Phi Beta Kappa, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

David W Stepnick, MD, Associate Professor, Departments of Plastic Surgery and Otolaryngology-Head and Neck Surgery, Case Western Reserve University School of Medicine, University Hospitals of Cleveland Case Medical Center
David W Stepnick, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society for Head and Neck Surgery, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown

 
 
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