Latissimus dorsi perforator flap.

Although exact information on the distribution of reliable perforators has not been published, its underlying reproducible pattern may be experienced with clinical trials. The LD perforator flap is a typical example of thin perforator flap and it can be used widely as a resurfacing tool or reconstructive modality with various composition. Through clinical experience it was validated that a single reliable perforator is sufficient for perfusion of the entire flap. Finally, the perforator concept gives the surgeon the freedom to select, tailor, or compose the flap independently from the limited indications of the conventional flaps, according to the donor or pedicle problems. With increasing use of the perforator flap, the conventional flap can be expanded to its ultimate potential with more reliability.