Lymph fasciocutaneous lateral thoracic artery flap: anatomical study and clinical use.
Identifieur interne : 006750 ( Ncbi/Merge ); précédent : 006749; suivant : 006751Lymph fasciocutaneous lateral thoracic artery flap: anatomical study and clinical use.
Auteurs : Guilherme Cardinali Barreiro [Brésil] ; Rachel Rossine Baptista [Brésil] ; Kiril Endo Kasai [Brésil] ; Daniel Marchi Dos Anjos [Brésil] ; Fabio De Freitas Busnardo [Brésil] ; Miguel Modolin [Brésil] ; Marcus Castro Ferreira [Brésil]Source :
- Journal of reconstructive microsurgery [ 1098-8947 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- blood supply : Lymph Nodes, Surgical Flaps.
- transplantation : Lymph Nodes, Thoracic Arteries.
- Adult, Cadaver, Female, Humans, Male, Middle Aged, Young Adult.
Abstract
The lateral thoracic flap was first studied in the mid-1970s but its use has been limited because of pedicle anatomical variations. However, after the development of lymph node transfer surgery, the axilla/upper lateral thorax presented as a promising donor area. Through a detailed anatomical study, the lateral thoracic flap was evaluated regarding its vascularization and composition. Later, it was used for pedicle and free flap reconstructions.
DOI: 10.1055/s-0034-1372482
PubMed: 24926871
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 001491
- to stream PubMed, to step Curation: 001491
- to stream PubMed, to step Checkpoint: 001491
Links to Exploration step
pubmed:24926871Le document en format XML
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<author><name sortKey="Baptista, Rachel Rossine" sort="Baptista, Rachel Rossine" uniqKey="Baptista R" first="Rachel Rossine" last="Baptista">Rachel Rossine Baptista</name>
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<author><name sortKey="Modolin, Miguel" sort="Modolin, Miguel" uniqKey="Modolin M" first="Miguel" last="Modolin">Miguel Modolin</name>
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<series><title level="j">Journal of reconstructive microsurgery</title>
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<imprint><date when="2014" type="published">2014</date>
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<term>Cadaver</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Nodes (blood supply)</term>
<term>Lymph Nodes (transplantation)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Surgical Flaps (blood supply)</term>
<term>Thoracic Arteries (transplantation)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Artères thoraciques (transplantation)</term>
<term>Cadavre</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Lambeaux chirurgicaux ()</term>
<term>Mâle</term>
<term>Noeuds lymphatiques ()</term>
<term>Noeuds lymphatiques (transplantation)</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Lymph Nodes</term>
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term>
<term>Thoracic Arteries</term>
</keywords>
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<term>Cadaver</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Artères thoraciques</term>
<term>Cadavre</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Lambeaux chirurgicaux</term>
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<front><div type="abstract" xml:lang="en"> The lateral thoracic flap was first studied in the mid-1970s but its use has been limited because of pedicle anatomical variations. However, after the development of lymph node transfer surgery, the axilla/upper lateral thorax presented as a promising donor area. Through a detailed anatomical study, the lateral thoracic flap was evaluated regarding its vascularization and composition. Later, it was used for pedicle and free flap reconstructions.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24926871</PMID>
<DateCreated><Year>2014</Year>
<Month>07</Month>
<Day>05</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>04</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>05</Month>
<Day>26</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1098-8947</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>30</Volume>
<Issue>6</Issue>
<PubDate><Year>2014</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Journal of reconstructive microsurgery</Title>
<ISOAbbreviation>J Reconstr Microsurg</ISOAbbreviation>
</Journal>
<ArticleTitle>Lymph fasciocutaneous lateral thoracic artery flap: anatomical study and clinical use.</ArticleTitle>
<Pagination><MedlinePgn>389-96</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0034-1372482</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND"> The lateral thoracic flap was first studied in the mid-1970s but its use has been limited because of pedicle anatomical variations. However, after the development of lymph node transfer surgery, the axilla/upper lateral thorax presented as a promising donor area. Through a detailed anatomical study, the lateral thoracic flap was evaluated regarding its vascularization and composition. Later, it was used for pedicle and free flap reconstructions.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS"> A total of 40 flaps were dissected in fresh cadavers and the characteristics of the lateral thoracic pedicle and its relationship to the upper lateral thoracic axillary lymph nodes (LTLN) were analyzed. We performed six pedicle flap reconstructions around the shoulder area and a free lymph node transfer for lower limb lymphedema.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS"> In the cadaveric dissections, the lateral thoracic pedicle branched off the axillary vessels and was found to be a primary level I axillary lymph node irrigator before reaching the skin. The cutaneous portion of the artery was present in 87.5% of the dissections. Arterial caliber was an average of 1.3 and venous, 2.6 mm. Five to seven lymph nodes were isolated with each pedicle and a lymph fasciocutaneous flap could be designed. In seven clinical cases, all of the flaps survived. Functioning lymph nodes were visualized on lymphoscintigraphy after their transfer to the ankle. Donor area had an inconspicuous evolution.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS"> Lateral thoracic flap is a feasible flap with low donor area morbidity in a concealed region that can be harvested with upper LTLN for transplantation.</AbstractText>
<CopyrightInformation>Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Barreiro</LastName>
<ForeName>Guilherme Cardinali</ForeName>
<Initials>GC</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, University of São Paulo, Medical School, São Paulo, SP, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Baptista</LastName>
<ForeName>Rachel Rossine</ForeName>
<Initials>RR</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, University of São Paulo, Medical School, São Paulo, SP, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kasai</LastName>
<ForeName>Kiril Endo</ForeName>
<Initials>KE</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, University of São Paulo, Medical School, São Paulo, SP, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>dos Anjos</LastName>
<ForeName>Daniel Marchi</ForeName>
<Initials>DM</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, University of São Paulo, Medical School, São Paulo, SP, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Busnardo</LastName>
<ForeName>Fabio de Freitas</ForeName>
<Initials>Fde F</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, University of São Paulo, Medical School, São Paulo, SP, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Modolin</LastName>
<ForeName>Miguel</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, University of São Paulo, Medical School, São Paulo, SP, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ferreira</LastName>
<ForeName>Marcus Castro</ForeName>
<Initials>MC</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, University of São Paulo, Medical School, São Paulo, SP, Brazil.</Affiliation>
</AffiliationInfo>
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<Month>06</Month>
<Day>13</Day>
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<MedlineTA>J Reconstr Microsurg</MedlineTA>
<NlmUniqueID>8502670</NlmUniqueID>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D002102" MajorTopicYN="N">Cadaver</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName>
<QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName>
<QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName>
<QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013895" MajorTopicYN="N">Thoracic Arteries</DescriptorName>
<QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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<affiliations><list><country><li>Brésil</li>
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<tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Barreiro, Guilherme Cardinali" sort="Barreiro, Guilherme Cardinali" uniqKey="Barreiro G" first="Guilherme Cardinali" last="Barreiro">Guilherme Cardinali Barreiro</name>
</region>
<name sortKey="Baptista, Rachel Rossine" sort="Baptista, Rachel Rossine" uniqKey="Baptista R" first="Rachel Rossine" last="Baptista">Rachel Rossine Baptista</name>
<name sortKey="Busnardo, Fabio De Freitas" sort="Busnardo, Fabio De Freitas" uniqKey="Busnardo F" first="Fabio De Freitas" last="Busnardo">Fabio De Freitas Busnardo</name>
<name sortKey="Dos Anjos, Daniel Marchi" sort="Dos Anjos, Daniel Marchi" uniqKey="Dos Anjos D" first="Daniel Marchi" last="Dos Anjos">Daniel Marchi Dos Anjos</name>
<name sortKey="Ferreira, Marcus Castro" sort="Ferreira, Marcus Castro" uniqKey="Ferreira M" first="Marcus Castro" last="Ferreira">Marcus Castro Ferreira</name>
<name sortKey="Kasai, Kiril Endo" sort="Kasai, Kiril Endo" uniqKey="Kasai K" first="Kiril Endo" last="Kasai">Kiril Endo Kasai</name>
<name sortKey="Modolin, Miguel" sort="Modolin, Miguel" uniqKey="Modolin M" first="Miguel" last="Modolin">Miguel Modolin</name>
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