Latissimus dorsi myocutaneous flap for burned breast reconstruction
- VernacularTitle:应用背阔肌岛状肌皮瓣修复烧伤后乳房畸形
- Author:
Yang WANG
;
Ru ZHAO
;
Xiaojun WANG
;
Zhifei LIU
;
Qun QIAO
- Publication Type:Journal Article
- Keywords:
Latissimus dorsi myocutaneous island flap;
Burns;
Breast;
DeformityBreast reconstruction
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2008;14(5):297-299
- CountryChina
- Language:Chinese
-
Abstract:
Objective Thermal burns of the anterior chest disfigure the female breast, and the postburn breast deformity is a sequela of severe scar contraction of the burned chest. For deformities that affected the mammary development, museulocutaneous flaps were used. Here we introduce our experience in using the latissimus dorsi myocutaneous island flap in burned breast reconstruction. Methods During the past 7 years, 7 female patients with such deformities required reconstruction, the expanded or unex-panded latissimus dorsi musculocutaneous island flaps were used in the partial reconstruction of burned breast. In the mild deformities group (2 cases), unexpanded latissimus dorsi musculocutaneous island flaps were used. For patients with undeveloped mammary glands (5 cases), expanded latissimus dorsi musculocutaneous island flaps were used. Results The procedure was performed in 7 patients and all the flaps were alive, with significant improvement of breast appearance. The complication rate was low. There were no deformity and dysfuction in the donor site. Conclusions The technique has many advanta-ges: beautiful contour of breast, good blood supply of the flap, no donor site morbidity. It provides the plastic surgeon with an excellent, safe and consistently successful method for burned breast reconstrue-tion. This experience has led to development of surgical principles and techniques tailored to this particu-larly difficult problem.
