Table 6 Latissimus dorsi flap
From: Complex reconstructions in head and neck cancer surgery: decision making
Flap size | Pedicle length | Pedicle diameter | Donor site morbidity | Patient's position | Special considerations |
|---|---|---|---|---|---|
-Muscle: Length:35 cm (21-42 cm) -Width: 20 cm (14-26 cm) -Thickness: 1,5 cm (0,5-4,5 cm) -Skin: Length: 18-35 cm, Width: 7-20 cm, Thickness: 2,5 cm (1-5 cm) | -8,5 cm (6,5-12 cm) | -3 mm (2-4 mm) | -Cosmetic deformity if skin graft is necessary for closure -Weakness of shoulder possible -High rate of seroma | -Lateral decubitus position -Prone or supine with 45° lateral tilt | -Skin alone can be harvested as perforator flap (TAP flap) |