[Respective indications for free and pedicle flaps of the latissimus dorsi in maxillofacial surgery].
Retrospective analysis of 41 cases of transfer of free and pedicle musculocutaneous flaps of latissimus dorsi for selected or obligatory maxillofacial indications resulted in the review and critical assessment of the different modes of utilization of these flaps. Experience acquired, and continuously updated by new scientific data or a new clinical case, justifies the use of this exceptional technic, which should not be extended to include those cases able to be treated by simpler, more reliable methods. Similarly the fact that this muscle can be transferred using a microsurgical technic cannot enlarge its use beyond that motivated by reasoned medical imperatives. Modalities of preparation of the flap are described and its multiple applications demonstrated using several examples: indications for latissimus dorsi flap in maxillofacial surgery and reasons for performance of micro-anastomotic transfer.
D005260:Female; D006801:Humans; D008297:Male; D008446:Maxillofacial Injuries / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps
Indications respectives du lambeau libre et pédiculé de latissimus dorsi en chirurgie maxillo-faciale.