title: [The clinic application of thoracodorsal artery perforator flap: a report of 16 cases].
abstract: OBJECTIVE
  To investigate the effects of free and pedicled thoracodorsal artery perforator (TDAP) flaps for repairing skin and soft tissue defects in limbs, neck, axillary and shoulder.
  
  
  METHODS
  From October 2009 to Auguest 2011, 16 TDAP flaps were used to repair skin and tissue defects. Among them, five ipsilateral pedicled flaps were used to repair wounds in neck, axillary and shoulder. 11 free TDAP flaps were used to repair the wounds with bone or tendon exposure. In 12 cases, the flaps were pedicled with thoracodorsal artery and vein-lateral branches-perforators, in 4 cases, pedicled with thoracodorsal artery and vein-serratus anterior muscular branches-perforators. The deep fascia, the latissimus dorsi and thoracodorsal nerve were not included in all flaps. The flaps size ranged from 10 cm x 5 cm to 26 cm x 10 cm.
  
  
  RESULTS
  All 16 flaps survived completely with primary healing both at donor site and recipent area. After a follow-up of 3 to 24 months, all flaps gained good texture and appearance. Only linear scar was left at donor area. The shoulder could move freely.
  
  
  CONCLUSIONS
  TDAP flap has good texture, long vascular pedicle,and reliable blood supply, leaving less morbidity at donor site. The latissimus dorsi and thoracodorsal nerve are also preserved. The pedicled TDAP flap is an ideal flap for repairing the ipsilateral skin and soft tissue defects of the neck, shoulder, axillary. The free TDAP flap is suited for repairing skin and soft tissue defects of the extremities.
authors: Ju-Yu
authors: JY
authors: Tang
authors: Wei
authors: W
authors: Du
authors: Da-Jiang
authors: DJ
authors: Song
authors: Jie-Yu
authors: JY
authors: Liang
authors: Fang
authors: F
authors: Yu
authors: Li-Ming
authors: LM
authors: Qing
authors: Cong-Yang
authors: CY
authors: Wang
mesh_terms: D001158:Arteries; D001365:Axilla; D006801:Humans; D018482:Muscle, Skeletal; D061525:Perforator Flap / Q000637:transplantation*; D013524:Surgical Flaps / Q000098:blood supply / Q000637:transplantation; D035441:Thoracic Wall; D014945:Wound Healing; D014947:Wounds and Injuries / Q000601:surgery*