Facial Plastics and Reconstructive Surgery
Latissimus dorsi muscle free flap revisited: A novel endoscope-assisted approach
Article first published online: 9 FEB 2013
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 123, Issue 3, pages 613–617, March 2013
How to Cite
Cha, W., Jeong, W.-J. and Ahn, S.-H. (2013), Latissimus dorsi muscle free flap revisited: A novel endoscope-assisted approach. The Laryngoscope, 123: 613–617. doi: 10.1002/lary.23757
- Issue published online: 26 FEB 2013
- Article first published online: 9 FEB 2013
- Manuscript Accepted: 5 SEP 2012
- Manuscript Revised: 31 AUG 2012
- Manuscript Received: 3 JUL 2012
- Latissimus dorsi;
- muscle free flap;
- microvascular free tissue transfer;
- oral cavity reconstruction;
- endoscope-assisted surgery;
- Level of Evidence: 4
Achieving a functionally favorable and aesthetically acceptable outcome in oncologic and reconstructive surgery is important in the current era. Latissimus dorsi (LD) flap is traditionally performed with a large incision in lateral position. We report an endoscope-assisted harvest of LD muscle free flap in supine position to avoid a large scar and facilitate a two-team approach for oral cavity reconstruction.
Consecutive case series.
Four consecutive patients underwent LD muscle free flap for various oral cavity reconstructions. LD muscle free flaps were harvested under endoscope assistance.
Endoscope-assisted LD free-flap harvest allowed a small incision in the axillary pit, which can be easily concealed without change of patient position, resulting in shortened operative time. Endoscopic harvest caused no acute complications, and donor site morbidity was minimal. Reconstructions with endoscope-assisted LD muscle free flap of the oral cavity defect site were successful in all cases.
Endoscope-assisted LD muscle free flap is a feasible and practical option for the reconstruction of selective oral cavity defects with aesthetically excellent donor site scar. Laryngoscope, 2013