Thoracodorsal artery perforator flap: Indeed a versatile flap
Introduction: The thoracodorsal artery perforator (TDAP) flap has emerged as one of the ideal perforator flaps. We, hereby, describe its versatility in indications (free/pedicled), methods of harvest (patient position and paddle orientation) and perforator consistency. Materials and Methods: We have...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2015-05-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.163051 |
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| author | Leena Jain Samir M. Kumta Shrirang K. Purohit Rashmi Raut |
| author_facet | Leena Jain Samir M. Kumta Shrirang K. Purohit Rashmi Raut |
| author_sort | Leena Jain |
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| description | Introduction: The thoracodorsal artery perforator (TDAP) flap has emerged as one of the ideal perforator flaps. We, hereby, describe its versatility in indications (free/pedicled), methods of harvest (patient position and paddle orientation) and perforator consistency. Materials and Methods: We have performed a total of six TDAP flaps-five free and one pedicled, over a period of 1-year from March 2014 to February 2015 at a single centre. Our indications have been: Reconstruction of oral cavity, breast and upper and lower extremities. Results: We had neither any failures nor any re-explorations. The average perforator length is about 6 cm and the pedicle length can be extended to 12-14 cm by including the thoracodorsal artery. There is inconsistency in perforator position; however, the presence of a perforator is certain. It can be harvested in lateral, prone or supine position, thus, does not require any position change allowing a two-team approach to reconstruction. The paddle can be oriented vertically or horizontally, both healing with scars in inconspicuous locations. Apart from providing a good colour match for extremities, this flap can be thinned primarily. Conclusion: The versatility of TDAP has several advantages that make it a workhorse flap for most reconstructions requiring soft tissue cover. Further, the ease of harvest makes it a good perforator flap for beginners. Its use in chimerism with the underlying latissimus dorsi muscle provides reconstruction for coverage and volume replacement. |
| format | Article |
| id | doaj-art-a1dfabfbbc964027995cb3c9c4a7b1f7 |
| institution | Kabale University |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2015-05-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-a1dfabfbbc964027995cb3c9c4a7b1f72025-08-20T03:38:35ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2015-05-01480215315810.4103/0970-0358.163051Thoracodorsal artery perforator flap: Indeed a versatile flapLeena Jain0Samir M. Kumta1Shrirang K. Purohit2Rashmi Raut3Department of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, IndiaIntroduction: The thoracodorsal artery perforator (TDAP) flap has emerged as one of the ideal perforator flaps. We, hereby, describe its versatility in indications (free/pedicled), methods of harvest (patient position and paddle orientation) and perforator consistency. Materials and Methods: We have performed a total of six TDAP flaps-five free and one pedicled, over a period of 1-year from March 2014 to February 2015 at a single centre. Our indications have been: Reconstruction of oral cavity, breast and upper and lower extremities. Results: We had neither any failures nor any re-explorations. The average perforator length is about 6 cm and the pedicle length can be extended to 12-14 cm by including the thoracodorsal artery. There is inconsistency in perforator position; however, the presence of a perforator is certain. It can be harvested in lateral, prone or supine position, thus, does not require any position change allowing a two-team approach to reconstruction. The paddle can be oriented vertically or horizontally, both healing with scars in inconspicuous locations. Apart from providing a good colour match for extremities, this flap can be thinned primarily. Conclusion: The versatility of TDAP has several advantages that make it a workhorse flap for most reconstructions requiring soft tissue cover. Further, the ease of harvest makes it a good perforator flap for beginners. Its use in chimerism with the underlying latissimus dorsi muscle provides reconstruction for coverage and volume replacement.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.163051ideal perforator flapseptocutaneous perforatorversatilechimerism |
| spellingShingle | Leena Jain Samir M. Kumta Shrirang K. Purohit Rashmi Raut Thoracodorsal artery perforator flap: Indeed a versatile flap Indian Journal of Plastic Surgery ideal perforator flap septocutaneous perforator versatile chimerism |
| title | Thoracodorsal artery perforator flap: Indeed a versatile flap |
| title_full | Thoracodorsal artery perforator flap: Indeed a versatile flap |
| title_fullStr | Thoracodorsal artery perforator flap: Indeed a versatile flap |
| title_full_unstemmed | Thoracodorsal artery perforator flap: Indeed a versatile flap |
| title_short | Thoracodorsal artery perforator flap: Indeed a versatile flap |
| title_sort | thoracodorsal artery perforator flap indeed a versatile flap |
| topic | ideal perforator flap septocutaneous perforator versatile chimerism |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.163051 |
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