title: Propeller TAP flap: is it usable for breast reconstruction?
abstract: The aim of this study was to examine if a propeller thoracodorsal artery perforator (TAP) flap can be used for breast reconstruction. Fifteen women were reconstructed using a propeller TAP flap, an implant, and an ADM. Preoperative colour Doppler ultrasonography was used for patient selection to identify the dominant perforator in all cases. A total of 16 TAP flaps were performed; 12 flaps were based on one perforator and four were based on two. A permanent silicone implant was used in 14 cases and an expander implant in two. Minor complications were registered in three patients. Two cases had major complications needing additional surgery. One flap was lost due to a vascular problem. Breast reconstruction can be performed by a propeller TAP flap without cutting the descending branch of the thoracodorsal vessels. However, the authors would recommend that a small cuff of muscle is left around the perforator to ensure a sufficient venous return.
authors.affiliation: Department of Plastic Surgery, Vejle Hospital/Odense University Hospital , Vejle , Denmark.
authors.forename: Jørn Bo
authors.initials: JB
authors.lastname: Thomsen
authors.forename: Camilla
authors.initials: C
authors.lastname: Bille
authors.forename: Peter
authors.initials: P
authors.lastname: Wamberg
authors.forename: Erik H
authors.initials: EH
authors.lastname: Jakobsen
authors.forename: Susanne
authors.initials: S
authors.lastname: Arffmann
mesh_terms: D000328:Adult; D000368:Aged; D018427:Breast Implants; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery; D003718:Denmark; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods*; D008408:Mastectomy / Q000379:methods; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D061525:Perforator Flap / Q000098:blood supply*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D011300:Preoperative Care; D012086:Reoperation; D018570:Risk Assessment; D012494:Sampling Studies; D017768:Skin, Artificial; D013895:Thoracic Arteries / Q000601:surgery / Q000637:transplantation*; D013997:Time Factors; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D014945:Wound Healing / Q000502:physiology