Tobin G R, Moberg A W, DuBou R H, Weiner L J, Bland K I
Ann Plast Surg. 1981 Oct;7(4):272-80. doi: 10.1097/00000637-198110000-00004.
Consistent proximal branching of the latissimus dorsi neurovascular anatomy permits surgical splitting of the myocutaneous unit into two flaps. Either or both branches of the split flap can be independently transferred. Experimental and clinical applications of this flap, which illustrate several of its uses and advantages, are presented. Applications include simultaneous provision of cover and lining flaps for head and neck reconstruction, motor transfers with split muscle branches, preservation of motor function in the flap donor site with one split muscle branch, and microvascular free tissue transfer of the branched flap or of individual branches.
背阔肌神经血管解剖结构近端分支一致，这使得肌皮单元能够手术分割成两个皮瓣。分割皮瓣的一个或两个分支均可独立转移。本文介绍了该皮瓣的实验和临床应用，展示了其多种用途和优势。应用包括同时为头颈部重建提供覆盖皮瓣和衬里皮瓣、利用分割的肌肉分支进行动力转移、通过一个分割的肌肉分支保留皮瓣供区的运动功能，以及对分支皮瓣或单个分支进行微血管游离组织转移。
