Reconstruction of cranioplasty using the thoracodorsal artery perforator (TDAP) flap: A case series

Microsurgery ◽  
2018 ◽  
Vol 39 (3) ◽  
pp. 207-214 ◽  
Author(s):  
Mario F. Scaglioni ◽  
Gabriele Giunta
Keyword(s):  
Case Series ◽  
Thoracodorsal Artery ◽  
Tdap Flap ◽  
Artery Perforator

scholarly journals The role of cinematic rendering in pre-operative planning of a thoracodorsal artery perforator flap (TDAP) phalloplasty: a case study

2019 ◽  
Vol 5 (2) ◽  
pp. 20180084
Author(s):  
Carolina Lugo-Fagundo ◽  
Hannah Ahn ◽  
Devin O’Brien-Coon ◽  
Elliot K. Fishman
Keyword(s):  
Volume Rendering ◽  
Three Dimensional ◽  
Perforator Flap ◽  
Muscle Involvement ◽  
Thoracodorsal Artery ◽  
Operative Planning ◽  
Flap Design ◽  
Tdap Flap ◽  
Artery Perforator ◽  
Volume Rendering Technique

The thoracodorsal artery perforator (TDAP) flap is a muscle-sparing skin and fat flap that requires precise intramuscular dissection of the thoracodorsal artery perforators in the axillary region. Pre-operative image-based treatment planning is a crucial part of flap design. In this article, we discuss the first-ever reported use of the cinematic volume rendering technique (CVRT) to evaluate the thoracodorsal artery for a TDAP flap phalloplasty in a 49-year-old transgender patient. Cinematic volume rendering technique uses light maps to generate photo-realistic three-dimensional images of the thoracodorsal artery and its perforators. These images aid the surgeon in evaluating optimal perforators and latissimus dorsi muscle involvement for more efficient flap design.

Use of the Thoracodorsal Artery Perforator (TDAP) Flap With Implant in Breast Reconstruction

2008 ◽  
Vol 61 (2) ◽  
pp. 143-146 ◽  
Author(s):  
Moustapha Hamdi ◽  
Marzia Salgarello ◽  
Liliana Barone-Adesi ◽  
Koenraad Van Landuyt
Keyword(s):  
Breast Reconstruction ◽  
Thoracodorsal Artery ◽  
Tdap Flap ◽  
Artery Perforator

Scapular tip-thoracodorsal artery perforator free flap for total/subtotal glossectomy defects: Case series and conformance study

Oral Oncology ◽  
2020 ◽  
Vol 105 ◽  
pp. 104660
Author(s):  
Marco Ferrari ◽  
Axel Sahovaler ◽  
Harley H.L. Chan ◽  
Piero Nicolai ◽  
Jonathan C. Irish ◽  
...  
Keyword(s):  
Free Flap ◽  
Case Series ◽  
Thoracodorsal Artery ◽  
Artery Perforator

Versatility of the Pedicled Thoracodorsal Artery Perforator (TDAP) Flap in Soft Tissue Reconstruction

2007 ◽  
Vol 58 (3) ◽  
pp. 315-320 ◽  
Author(s):  
C Laredo Ortiz ◽  
M M??rquez Mendoza ◽  
L Navarro Sempere ◽  
J Salvador Sanz ◽  
A Novo Torres ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Reconstruction ◽  
Thoracodorsal Artery ◽  
Tissue Reconstruction ◽  
Tdap Flap ◽  
Artery Perforator

scholarly journals Thoracodorsal artery perforator flap: Indeed a versatile flap

2015 ◽  
Vol 48 (02) ◽  
pp. 153-158 ◽  
Author(s):  
Leena Jain ◽  
Samir M. Kumta ◽  
Shrirang K. Purohit ◽  
Rashmi Raut
Keyword(s):  
Perforator Flap ◽  
Team Approach ◽  
Position Change ◽  
Thoracodorsal Artery ◽  
Upper And Lower Extremities ◽  
Colour Match ◽  
Pedicle Length ◽  
Thoracodorsal Artery Perforator Flap ◽  
Tdap Flap ◽  
Artery Perforator

ABSTRACT 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.

scholarly journals Thoracodorsal artery flaps for breast reconstruction–the variants and its approach

2021 ◽  
Vol 48 (1) ◽  
pp. 15-25
Author(s):  
Jørn Bo Thomsen ◽  
Mikkel Børsen Rindom ◽  
Alberto Rancati ◽  
Claudio Angrigiani
Keyword(s):  
Body Mass Index ◽  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Surgical Techniques ◽  
Substantial Body ◽  
Secondary Procedure ◽  
Thoracodorsal Artery ◽  
Muscle Sparing ◽  
Tdap Flap ◽  
Artery Perforator

Thoracodorsal artery (TDA) flaps, ranging from the vascular-pedicled thoracodorsal artery perforator (TDAP) flap, the propeller TDAP flap, and the muscle-sparing latissimus dorsi (MSLD) flap to the conventional latissimus dorsi (LD) flap and the extended LD flap, can all be used for breast reconstruction. The aim of this paper and review is to share our experiences and recommendations for procedure selection when applying TDA-based flaps for breast reconstruction. We describe the different surgical techniques and our thoughts and experience regarding indications and selection between these procedures for individual patients who opt for breast reconstruction. We have performed 574 TDA flaps in 491 patients: 60 extended LD flaps, 122 conventional LD flaps, two MSLD flaps, 233 propeller TDAP flaps, 122 TDAP flaps, and 35 free contralateral TDAP flaps for stacked TDAP breast reconstruction. All the TDA flaps are important flaps for reconstruction of the breast. The LD flap is still an option, although we prefer flaps without muscle when possible. The vascular-pedicled TDAP flap is an option for experienced surgeons, and the propeller TDAP flap can be used in most reconstructive cases of the breast, although a secondary procedure is often necessary for correction of the pedicle bulk. The extended LD flap is an option for women with a substantial body mass index, although it is associated with the highest morbidity of all the TDA flaps. The MSLD flap can be used if the perforators are small or if dissection of the perforators is assessed to be hazardous.

scholarly journals Axillary Reconstruction Using a Pedicled Thoracodorsal Artery Perforator Flap Including Latissimus Dorsi Muscle Strip

2020 ◽  
Vol 16 (1) ◽  
pp. 43-48
Author(s):  
Jin An Cha ◽  
Sung Ho Yoon
Keyword(s):  
Latissimus Dorsi ◽  
Donor Site ◽  
Perforator Flap ◽  
Donor Site Morbidity ◽  
Latissimus Dorsi Muscle ◽  
Muscle Strip ◽  
Dorsi Muscle ◽  
Thoracodorsal Artery ◽  
Tdap Flap ◽  
Artery Perforator

For axillary reconstruction, most reconstructive surgeons use the latissimus dorsi flap because of its usefulness and reliability. However, the latissimus dorsi musculocutaneous flap poses complications such as donor site morbidity and poor aesthetic results. Moreover, the thoracodorsal artery perforator (TDAP) flap, without muscle, presents difficulties for the delicate procedure of dissecting the perforators separately. Therefore, we propose the use of a pedicled TDAP flap including a latissimus dorsi muscle strip for axillary reconstruction, as it is believed to be easier and safer to perform.

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