title: Versatile use of the muscle and nerve sparing latissimus dorsi flap.
abstract: In this report, we describe the technique of muscle and nerve sparing latissimus dorsi (LD) flap and evaluate the outcomes of reconstruction of various defects with 12 free and 2 pedicled muscle and nerve sparing LD flaps in 14 patients. The LD muscle functions at operated and nonoperated muscles were evaluated clinically and with electroneuromyography. All flaps survived completely but one which had a partial necrosis. The mean follow-up time was 12.3 months. Adduction and extention ranges of the shoulders were the same bilaterally in all patients. In electroneuromyography, no significant difference was available statistically between the sides. This muscle and nerve sparing latissimus dorsi flap has advantages of thinness, muscle preservation and reliability, and thus can be a good option to other fasciocutaneous flaps in reconstruction surgery.
authors: Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University, Medical Faculty, Erzurum, Turkey. drondertan@yahoo.com
authors: Onder
authors: O
authors: Tan
authors: Said
authors: S
authors: Algan
authors: Selma
authors: S
authors: Denktas Kuduban
authors: Hakan
authors: H
authors: Cinal
authors: Ensar
authors: E
authors: Zafer Barin
authors: Hizir
authors: H
authors: Ulvi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002056:Burns / Q000601:surgery; D002648:Child; D015331:Cohort Studies; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D059351:Organ Sparing Treatments; D010369:Pectoralis Muscles / Q000601:surgery / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012878:Skin Neoplasms / Q000601:surgery; D018709:Statistics, Nonparametric; D013524:Surgical Flaps / Q000098:blood supply* / Q000294:innervation*; D016896:Treatment Outcome; D014421:Turkey; D014945:Wound Healing / Q000502:physiology; D014947:Wounds and Injuries / Q000601:surgery; D055815:Young Adult