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The Kite Latissimus Dorsi Flap for Breast Reconstruction: An Attempt to Reduce Lateral Chest Wall Deformity and Axillary Bulking

2016-08Journal article Open access
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dc.contributor.authorCorreia Anacleto, J
dc.contributor.authorMavioso, C
dc.contributor.authorGouveia, PF
dc.contributor.authorMagalhães, A
dc.contributor.authorBastos Martins, J
dc.contributor.authorMoura, A
dc.contributor.authorPinto, D
dc.contributor.authorCardoso, MJ
dc.date.accessioned2017-06-08T15:41:24Z
dc.date.available2017-06-08T15:41:24Z
dc.date.issued2016-08
dc.description.abstractThe latissimus dorsi flap is a commonly used tissue transfer for volume replacement in partial or total breast reconstruction. In this era of cosmetic awareness and oncoplastic breast surgery, two main defects are related to the conventional technique: the back scar and the bulkiness on the lateral chest wall, under the axilla. Axillary bulking, a disturbing defect for the majority of patients, is a persistent consequence, independent of the technique used, even when the proximal tendon is cut. We describe a new approach, the kite latissimus dorsi flap, consisting of harvesting the flap, partially or totally, with pedicle dissection from the muscle, extending dissection, perforator style if needed, until the external border of the breast (anterior axillary line) is reached. The muscle is then cut at that level, leaving no unnecessary volume under the axilla, which would cause bulkiness and chest wall deformity.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAesthetic Plast Surg. 2016 Aug;40(4):514-6.pt_PT
dc.identifier.doi10.1007/s00266-016-0656-3pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2700
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Verlagpt_PT
dc.subjectHSJ CPRpt_PT
dc.subjectBreast Neoplasms/pathologypt_PT
dc.subjectBreast Neoplasms/surgerypt_PT
dc.subjectEstheticspt_PT
dc.subjectGraft Survivalpt_PT
dc.subjectMammaplasty/methods
dc.subjectMastectomy/methods
dc.subjectSuperficial Back Muscles/surgery
dc.subjectSuperficial Back Muscles/transplantation
dc.subjectSurgical Flaps/blood supply
dc.subjectSurgical Flaps/transplantation
dc.subjectTissue and Organ Harvesting
dc.subjectTreatment Outcome
dc.titleThe Kite Latissimus Dorsi Flap for Breast Reconstruction: An Attempt to Reduce Lateral Chest Wall Deformity and Axillary Bulkingpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage516pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage514pt_PT
oaire.citation.titleAesthetic Plastic Surgerypt_PT
oaire.citation.volume40pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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