title: [Latissimus dorsi myocutaneous flap combined with implant in breast reconstruction: The technique of the dorsal bra].
abstract: The latissimus dorsi myocutaneous flap combined with an implant is an effective breast reconstruction solution especially in irradiated patients. The authors describe the specific technical aspects that allow them to optimize the results of this intervention. In the back, the skin paddle is drawn in the shape of a horizontal spindle so as to conceal the residual scar under the bra. In breast area, a J-shaped contraincision barring the mastectomy scar ensures a harmonious positioning of the skin paddle to the inferolateral part of the breast. After a 180° rotation, the latissimus dorsi muscle envelops the implant like a bra. Its upper edge is attached at the bottom to define the new submammary fold. Under the pectoralis major muscle, its distal end comes to fill the décolleté above the implant.
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital civil, hôpitaux universitaires de Strasbourg, BP 426, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Bruant-Rodier
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital civil, hôpitaux universitaires de Strasbourg, BP 426, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Chiriac
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital civil, hôpitaux universitaires de Strasbourg, BP 426, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Baratte
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital civil, hôpitaux universitaires de Strasbourg, BP 426, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Dissaux
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital civil, hôpitaux universitaires de Strasbourg, BP 426, 1, place de l'Hôpital, 67091 Strasbourg cedex, France. Electronic address: frederic.bodin@chru-strasbourg.fr.
authors.forename: F
authors.initials: F
authors.lastname: Bodin
mesh_terms: D018427:Breast Implants; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D064827:Myocutaneous Flap; D064171:Superficial Back Muscles / Q000637:transplantation*
keywords: Breast implant; Breast reconstruction; Breast shaping; Implant mammaire; Lambeau musculocutané de grand dorsal pédiculé; Modelage du sein; Pedicled myocutaneous latissimus dorsi flap; Reconstruction mammaire