Cohen B E
Plast Reconstr Surg. 1984 Nov;74(5):650-6. doi: 10.1097/00006534-198411000-00010.
Reconstruction of normal shoulder contour is possible utilizing a latissimus dorsi musculocutaneous flap at the end of a long neurovascular pedicle. The thoracodorsal vessels and their lateral divisions form the basis of the pedicle. The nerve in the pedicle is left intact if maintenance of muscle bulk is desired and sectioned if atrophy is preferred. The amount of muscle taken in conjunction with the skin island is determined by the nature of the defect to be corrected. The twin goals of a single-stage reconstruction and a satisfactory aesthetic result are achieved with this method.
利用带长神经血管蒂的背阔肌肌皮瓣可以重建正常的肩部轮廓。胸背血管及其外侧分支构成蒂的基础。如果希望保留肌肉体积，则蒂中的神经保持完整；如果希望肌肉萎缩，则将神经切断。与皮岛一起取用的肌肉量由待矫正缺损的性质决定。该方法实现了一期重建和满意美学效果的双重目标。
