Maxillofacial Plastic and Reconstructive Surgery

  • 제33권6호
  • /
  • Pages.549-558
  • /
  • 2011
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

구강 및 안면재건을 위한 광배근 유리피판의 해부학적 고찰

Anatomical Review of Latissimus Dorsi Free Flap for Oral Cavity and Facial Reconstruction

  • 김성민 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 정영언 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 어미영 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 강지영 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 서미현 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 김현수 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 명훈 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 이종호 (서울대학교 치의학대학원 구강악안면외과학교실)
  • Kim, Soung-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Jung, Young-Eun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Eo, Mi-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Kang, Ji-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Seo, Mi-Hyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Kim, Hyun-Soo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Myoung, Hoon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
  • 투고 : 2011.09.15
  • 심사 : 2011.09.26
  • 발행 : 2011.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The latissimus dorsi myocutaneous flap (LDMF) was initially described at the turn of the century by Tansini et al, and latissimus dorsi myocutaneous free flap (LDMFF) was also first described for the coverage of a chronically infected scalp by Maxwell et al. As a pedicled flap, LDMF has been often used for breast reconstruction and for soft tissue replacement near the shoulder and the lower reaches of the head and neck. LDMFF is a flat and broad soft tissue flap with large-caliber thoracodorsal vessels for microvascular anastomosis. A skin paddle of the LDMFF can be more than $20{\times}40$ cm, so very large defects in the oral cavity and outer facial region can be covered by this LDMFF. Other advantages include consistent vascular anatomy, acceptable donor site morbidity and the ability to perform simultaneous flap harvest with tumor resection. For a better understanding of LDMFF as a routine reconstructive procedure in large defects of the oral cavity and facial legion, anatomical findings must be learned and memorized by young doctors during the special curriculum periods for the Korean national board of oral and maxillofacial surgery. This review article discusses the anatomical basis of LDMFF with Korean language.

키워드

참고문헌

  1. Maxwell GP, Stueber K, Hoopes JE. A free latissimus dorsi myocutaneous flap: case report. Plast Reconstr Surg 1978;62:462-6. https://doi.org/10.1097/00006534-197809000-00033
  2. Maxwell GP, Manson PN, Hoopes JE. Experience with thirteen latissimus dorsi myocutaneous free flaps. Plast Reconstr Surg 1979;64:1-8. https://doi.org/10.1097/00006534-197907000-00001
  3. Bang S, Yang E. Breast reconstruction using extended latissimus dorsi muscle flap. J Korean Med Assoc 2011;54:61-9.
  4. Rozen WM, Rajkomar AK, Anavekar NS, Ashton MW. Postmastectomy breast reconstruction: a history in evolution. Clin Breast Cancer 2009;9:145-54. https://doi.org/10.3816/CBC.2009.n.024
  5. Schneider WJ, Hill HL Jr, Brown RG. Latissimus dorsi myocutaneous flap for breast reconstruction. Br J Plast Surg 1977;30:277-81. https://doi.org/10.1016/0007-1226(77)90117-5
  6. Zancolli E, Mitre H. Latissimus dorsi transfer to restore elbow flexion. An appraisal of eight cases. J Bone Joint Surg Am 1973;55:1265-75. https://doi.org/10.2106/00004623-197355060-00014
  7. Lassen M, Krag C, Nielsen IM. The latissimus dorsi flap. An overview. Scand J Plast Reconstr Surg 1985;19:41-51. https://doi.org/10.3109/02844318509052864
  8. Campbell DA. Reconstruction of the anterior thoracic wall. J Thorac Surg 1950;19:456-61.
  9. Davis HH, Tollman JP, Brush JH. Huge chondrosarcoma of rib, report of a case. Surgery 1949;26:699-704.
  10. McCraw JB, Penix JO, Baker JW. Repair of major defects of the chest wall and spine with the latissimus dorsi myocutaneous flap. Plast Reconstr Surg 1978;62:197-206. https://doi.org/10.1097/00006534-197808000-00007
  11. Tansini I. Nuovo processo per l'amputazione della mammella per canero, Riforma Medica 12:3, 1896 (Reprinted in Langenbeck's Arch Klin Chir, 1896).
  12. Tansini I. Spora il mio nuovo processo di amputazione della mammilla. Gazz Med Ital 1906;57:141.
  13. Tansini I. Sopra il mio nuovo processo di amputazione della mammella. Riforma Medica (Palermo) 1906;12:757.
  14. Hoffman WY, Barton RM, Vasconez LO. Latissimus dorsi musculocutaneous flap to the head, neck, cheek, and scalp. In: Strauch B, Vasconez LO, Hall-Findlay EJ, editors. Grabb's encyclopedia of flaps. Philadelphia: Lippincott Williams & Wilkins; 1990. p.492-5.
  15. Urken ML, Sullivan MJ. Lasissimus dorsi. In: Urken ML, Cheney ML, Sullivan MJ, Biller HF, editors. Atlas of regional and free flaps for head and neck reconstruction. New York: Raven Press; 1995. p.237-59.
  16. Swartz WM, Banis JC. Lasissimus dorsi muscle and musculocutaneous flap. In: Swartz WM, Banis JC, editors. Head and neck microsurgery. Baltimore: Williams & Wilkins; 1992. p.92-8.
  17. Serafin D. The latissimus dorsi muscle-musculocutaneous flap. In: Serafin D, editor. Atlas of microsurgical composite tissue transplantation. Philadelphia: WB Saunders; 1996. p. 205-19.
  18. Desprez JD, Kiehn CL, Eckstein W. Closure of large meningomyelocele defects by composite skin-muscle flaps. Plast Reconstr Surg 1971;47:234-8. https://doi.org/10.1097/00006534-197103000-00006
  19. Seckel BR, Upton J, Freidberg SR, Gilbert KP, Murray JE. Pedicled myocutaneous flap of latissimus dorsi muscle for reconstruction of anterior and middle skull defects: an alternative. Head Neck Surg 1986;8:165-8. https://doi.org/10.1002/hed.2890080307
  20. Neligan PC, Lipa JE. Perforator flaps in head and neck reconstruction. Semin Plast Surg 2006;20:56-63. https://doi.org/10.1055/s-2006-941711
  21. Bidros RS, Metzinger SE, Guerra AB. The thoracodorsal artery perforator-scapular osteocutaneous (TDAP-SOC) flap for reconstruction of palatal and maxillary defects. Ann Plast Surg 2005;54:59-65. https://doi.org/10.1097/01.sap.0000139561.64564.d7
  22. Stevenson TR, Rohrich RJ, Pollock RA, Dingman RO, Bostwick J 3rd. More experience with the "reverse" latissimus dorsi musculocutaneous flap: precise location of blood supply. Plast Reconstr Surg 1984;74:237-43. https://doi.org/10.1097/00006534-198408000-00011
  23. Harii K, Yamada A, Ishihara K, Miki Y, Itoh M. A free transfer of both latissimus dorsi and serratus anterior flaps with thoracodorsal vessel anastomoses. Plast Reconstr Surg 1982;70:620-9. https://doi.org/10.1097/00006534-198211000-00019
  24. Putz R, Pabst R, editors. Sobotta atlas of human anatomy. 14th ed. Munich: Elsevier, Urban & Fischer; 2006.
  25. Standring S, editor. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 39th ed. London: Elsevier Churchill Livingstone; 2005.
  26. Strauch B, Yu HL. Atlas of microvascular surgery; anatomy and operative approaches. 2nd ed. New York: Thieme; 2006. p.372-87.
  27. Quillen CG. Latissimus dorsi myocutaneous flaps in head and neck reconstruction. Plast Reconstr Surg 1979;63:664-70. https://doi.org/10.1097/00006534-197905000-00010
  28. Olivari N. The latissimus flap. Br J Plast Surg 1976;29:126-8. https://doi.org/10.1016/0007-1226(76)90036-9
  29. Mendelson BC, Masson JK. Treatment of chronic radiation injury over the shoulder with a latissimus dorsi myocutaneous flap. Plast Reconstr Surg 1977;60:681-91. https://doi.org/10.1097/00006534-197711000-00002
  30. Watson JS, Craig RD, Orton CI. The free latissimus dorsi myocutaneous flap. Plast Reconstr Surg 1979;64:299-305. https://doi.org/10.1097/00006534-197909000-00002
  31. Tobin GR, Moberg AW, DuBou RH, Weiner LJ, Bland KI. The split latissimus dorsi myocutaneous flap. Ann Plast Surg 1981;7:272-80. https://doi.org/10.1097/00000637-198110000-00004
  32. McCraw JB, Dibbell DG, Carraway JH. Clinical definition of independent myocutaneous vascular territories. Plast Reconstr Surg 1977;60:341-52.
  33. Shesol BF, Clarke JS. Intrathoracic application of the latissimus dorsi musculocutaneous flap. Plast Reconstr Surg 1980;66:842-5. https://doi.org/10.1097/00006534-198012000-00006
  34. Schuller DE. Latissimus dorsi myocutaneous flap for massive facial defects. Arch Otolaryngol 1982;108:414-7. https://doi.org/10.1001/archotol.1982.00790550018005
  35. Quillen CG, Shearin JC Jr, Georgiade NG. Use of the latissimus dorsi myocutaneous island flap for reconstruction in the head and neck area: case report. Plast Reconstr Surg 1978;62:113-7. https://doi.org/10.1097/00006534-197807000-00028
  36. Sako K, Razack MS, Kalnins I. Reconstruction of massive orbito- maxillary-cheek defects. Head Neck Surg 1981;3:251-4. https://doi.org/10.1002/hed.2890030315
  37. Baker SR. Closure of large orbital-maxillary defects with free latissimus dorsi myocutaneous flaps. Head Neck Surg 1984;6:828-35. https://doi.org/10.1002/hed.2890060405
  38. Baudet J, Guimberteau JC, Nascimento E. Successful clinical transfer of two free thoraco-dorsal axillary flaps. Plast Reconstr Surg 1976;58:680-8. https://doi.org/10.1097/00006534-197612000-00005
  39. Korean Medical Association Committee of Medical Terminology: Medical Terminology. 5th ed. Korean Medical Association; 2008.