Page 88 - Read Online

Vakhshori et al. Plast Aesthet Res 2023;10:36 https://dx.doi.org/10.20517/2347-9264.2022.78 Page 5 of 22

3 105+ breakdown
1 85
[40]
Minami et al. 1 32 Brachial plexus 0 0 1 135 None reported
trauma
[41]
Bostwick et al. 1 Not Musculocutaneous 0 0 1 “full” None reported
specified injury, anterior
compartment atrophy
Botte et al. [42] 5 Not 3 brachial plexus NR NR 3 109 Not specified
specified trauma
1 upper arm
amputation
1 arm crush
[43]
Stern et al. 10 19 3 Erb palsy 1 3 6 107 1 pedicle twisted
3 brachial plexus and failed
trauma
1 sarcoma
3 anterior
compartment defect

Figure 1. External anatomic landmarks for harvest of the latissimus dorsi flap.

Figure 2. The pedicled latissimus dorsi flap after elevation.

the ipsilateral or the contralateral free latissimus may be used. The contralateral latissimus dorsi muscle is
considered in the event of atrophy or injury to the ipsilateral muscle. The approach and surgical dissection
are similar to that described for the pedicled rotational latissimus transfer [Figure 6]; however, the patient
needs to be repositioned to a supine position after the muscle has been harvested . The latissimus muscle
[9]
may be neurotized by the distal branch of the spinal accessory nerve, intercostal nerves, contralateral C7