[Anatomical basis of the transposition of the serratus anterior muscle. Study of 40 dissections].
In order to explore the possibility of serratus anterior muscle (SAM) flap transposition in head-neck and thoracic surgery, we performed an anatomical study including 40 dissections of the muscle's vascular pedicle, the subscapular-thoracodorsal axis, which is a branch of the axillary artery (A. subscapularis A. thoracodorsalis). The SAM is characterized by: its location: extending from the anterior and lateral aspect of the thorax to the medial border of the scapula; its easy surgical access; its constant and reliable vascularization by the thoracodorsal artery, a branch of the subscapular artery; its long arc of rotation allowing the utilization of the SAM flap in head and neck and mediastinal surgery without microvascular anastomoses; its versatility in comparison with other perithoracic muscles. These considerations prompted us to use the SAM in head and neck reconstructive surgery, chest wall surgery, chest wall reconstruction following resection for tumor; breast reconstruction; intrathoracic and mediastinal surgery, reinforcement of high-risk tracheobronchial sutures or anastomoses; management of bronchopleural fistulas and empyema spaces; repair of tracheo esophageal fistulas and tracheal or esophageal defects.
Vu
P
P
Service de Chirurgie Thoracique et Vasculaire, Hôpital Beaujon, Clichy.
Guedon
C
C
Gehanno
P
P
Andreassian
B
B
D001158:Arteries / Q000033:anatomy & histology; D001366:Axillary Artery / Q000601:surgery; D004210:Dissection; D006801:Humans; D009132:Muscles / Q000033:anatomy & histology / Q000098:blood supply / Q000637:transplantation*; D013524:Surgical Flaps / Q000379:methods*; D013909:Thorax / Q000098:blood supply
Bases anatomiques de la transposition du muscle grand dentelé (serratus anterior). Etude de quarante dissections.