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KMID : 0603119950040010033
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Journal of the Korean Microsurgical Society
1995 Volume.4 No. 1 p.33 ~ p.42
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Reconstruction of Extensive Compound Defects Using Combined Latissimus dorsi and Serratus Anterior Flaps
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Abstract
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Frequently, a singlemuscle flap is not enough to cover a large compound defects after extensive trauma or ablation of tumor. For a extensive defects, several kinds of flaps are available for various needs of reconstruction. The combined
latissimus
dorsi
and serratus anterior flaps provide the largest possible soft tissue coverage. Two flaps composed of latissimus dorsi and serratus anterior muscles are consistently nourished through the subscapular-thoracodorsal vessels and their many branches,
and
thus the two flaps can be isolated with one vascular pedicled free flap. We experienced 4 cases of reconstruction in closure of extensive compound defects using the combined latissimus dorsi and serratus anterior muscles with one vascular
pedicled
free
flap. The advantages of using these flaps are :1) its versatlity and excellent malleability 2)easy to dissection 3) long-stalked pedicle 4) the use of a vascularized rib 5) negligible motor dysfunction from the muscle removal.
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KEYWORD
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