Hostname: page-component-77c89778f8-rkxrd Total loading time: 0 Render date: 2024-07-17T21:19:09.825Z Has data issue: false hasContentIssue false

The repair of defects in the head and neck region with the latissimus dorsi myocutaneous flap

Published online by Cambridge University Press:  29 June 2007

C. R. Chowdhury
Affiliation:
London
N. R. Mclean*
Affiliation:
London
K. Harrop-Griffiths
Affiliation:
London
N. M. Breach
Affiliation:
London
*
Address for corrrespondence and reprints: Neil R. McLean, Department of Plastic andReconstructive Surgery, Queen Mary's University Hospital, Roehampton, London, SW15 5PN.

Abstract

There are many different flaps available for head and neck reconstruction. The latissimus dorsi myocutaneous flap has been widely used in this unit on 80 occasions in the past three years, both as a pedicled and as a free microvascular flap following the excision of head and neck malignancy, the commonest pathology being intraoral squamous cell carcinoma.

There were nine cases of complete or substantial flap loss requiring a further reconstructive procedure. Few of the patients who underwent total glossectomy suffered from overspill or aspiration and the fistula rate was low.

Reference is made to the anatomy and the technique of raising this versatile flap which provides a large volume of tissue and has been particularly useful following total glossesctomy when combined with a hyoid hitch.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ariyan, S. (1979 a) The Pectoralis Major Myocutaneous Flap. A versatile flap for reconstruction in the head and neck. Plastic and Reconsructive Surgery, 63: 7381.CrossRefGoogle ScholarPubMed
Ariyan, S. (1979 b) One-stage reconstruction for defects of the mouth using a sternomastoid myocutaneous flap. Plastic and Reconstructive Surgery, 63; 618625.CrossRefGoogle ScholarPubMed
Bakamjian, V. Y. (1965) A two-stage method for pharyngo-oesophageal reconstruction with a primary pectoral skin flap. Plastic and Reconstructive Surgery, 36: 173183.CrossRefGoogle ScholarPubMed
Baker, S. R. (1984) Closure of large orbital-maxillary defects with free latissimus dorsi myocutaneous flaps. Head and neck Surgery,6: 828835.CrossRefGoogle ScholarPubMed
Barton, F. E., Spicer, T. E. and Byrd, H. S. (1983) Head and neck reconstruction with the latissimus dorsi myocutaneous flap: anatomic observations and report of 60 cases. Plastic and Reconstructive Surgery, 71; 199204.CrossRefGoogle ScholarPubMed
Bostwick, J., Nahai, F., Wallace, J. G. and Vasconez, L. O. (1979) Sixty latissimus dorsi flaps. Plastic and Reconstructive Surgery, 63; 3141.CrossRefGoogle ScholarPubMed
Maxwell, G. P., Manson, P. N. and Hoopes, J. E. (1979) Experience with thirteen latissimus dorsi myocutaneous free flaps. Plastic and Reconstructive Surgery, 64: 18.CrossRefGoogle ScholarPubMed
McCraw, J. B., Magee, W. P. and Kalwaic, H. (1979) uses of the trapezius and sternomastoid myocutaneous flaps in head and neck reconstruction. Plastic and Reconstructive Surgery, 63; 4957.CrossRefGoogle ScholarPubMed
McGregor, I. A. (1963) The temporal flap in intraoral cancer: its use in repairing the post-excisional defect. British Journal of Plastic Surgery, 16: 318335.CrossRefGoogle ScholarPubMed
Quillen, C. G. (1979) latissimus dorsi myocutaneous flaps in head and neck and reconstruction. Plastic and Reconstructive Surgery, 63; 664670.CrossRefGoogle Scholar
Quillen, C. G., Shearin, J. C. and Georgiade, N. G. (1978) Use of the latissimus dorsi myocutaneous island flap for reconstruction in the head and neck area: case report. Plastic and Reconstructive Surgery, 62: 113117.CrossRefGoogle ScholarPubMed
Sabatier, R. E. and Bakamjian, V. Y. (1985) Transaxillary latissimus dorsi flap reconstruction in head and neck cancer. American Journal of Surgery, 150: 427434.CrossRefGoogle ScholarPubMed
Soutar, D. S., Scheker, L. R., Tanner, N. S. B. and McGregor, I. A. (1983) The radial forearm flap: a versatile method for intraoral reconstruction. British Journal of Plastic Surgery, 36; 18.CrossRefGoogle Scholar
Watson, J. S. (1982) The use of the latissimus dorsi island flap for intra-oral reconstruction. British Journal of Plastic Surgery, 35: 408412.CrossRefGoogle ScholarPubMed
Watson, J. S. and Lendrum, J. (1981) One stage pharyngeal reconstruction using a compound latissimus dorsi island flap. British Journal of Plastic Surgery, 34: 8790.CrossRefGoogle ScholarPubMed
Watson, J. S., Robertson, G. A., Lendrum, J., Stranc, M. and Pohl, M. J. (1982) Pharyngeal reconstruction using the latissimus dorsi myocutaneous flap. British Journal of Plastic Surgery, 35; 401407.CrossRefGoogle ScholarPubMed