Angrigiani C, Grilli D, Siebert J
Plast Reconstr Surg. 1995 Dec;96(7):1608-14. doi: 10.1097/00006534-199512000-00014.
The possibility of raising the cutaneous island of the latissimus dorsi musculocutaneous flap without muscle based on only one cutaneous perforator is presented in this paper. An anatomic study performed in 40 fresh cadaver specimens injected with colored latex demonstrated that the vertical intramuscular branch of the thoracodorsal artery gives off two to three cutaneous branches (perforators) that are consistently present. The largest one, measuring approximately 0.4 to 0.6 mm in diameter, provides the blood supply to a 25 x 15 cm cutaneous island. The incorporation of the proximal trunk of the thoracodorsal artery lengthens the pedicle, facilitating the anastomosis or the arc of rotation (in the case of island flaps) but does not increase the amount of tissue transferable. Five clinical cases were done with this technique without tissue necrosis or flap loss.
本文介绍了仅基于一个皮穿支掀起背阔肌肌皮瓣无肌肉的皮岛的可能性。对40例注射了彩色乳胶的新鲜尸体标本进行的解剖学研究表明，胸背动脉的垂直肌内分支发出两到三个始终存在的皮支（穿支）。最大的皮支直径约为0.4至0.6毫米，为一个25×15厘米的皮岛提供血供。胸背动脉近端主干的纳入延长了蒂部，便于吻合或旋转弧（对于岛状皮瓣而言），但不会增加可转移组织的量。采用该技术完成了5例临床病例，未出现组织坏死或皮瓣丢失的情况。
