Anomalous blood supply to the serratus anterior/rib composite flap.
The serratus anterior muscle and rib composite flap has been well described for oral and mandibular reconstruction. The flap may also be used in combination with the latissimus dorsi flap based on the common thoracodorsal vascular pedicle, a blood supply which has hitherto been proven to be reliable. This case demonstrates a totally independent arterial supply to the serratus anterior and latissimus dorsi muscles.
Percival
N J
NJ
Welsh Regional Centre for Burns and Plastic Surgery, St Lawrence Hospital, Chepstow.
Earley
M J
MJ
D001808:Blood Vessels / Q000002:abnormalities*; D002648:Child; D005146:Facial Asymmetry / Q000601:surgery*; D005260:Female; D006801:Humans; D009132:Muscles / Q000098:blood supply*; D012039:Regional Blood Flow; D012272:Ribs; D013524:Surgical Flaps