ArticleArchives of plastic surgery2021
Thoracodorsal artery flaps for breast reconstruction-the variants and its approach.
Article in Archives of plastic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 27 citations in OpenAlex.
- Patient-reported BREAST-Q Outcomes of Chest Wall Perforator Flaps in Partial Breast Reconstruction: A Single-center Experience.Plastic and reconstructive surgery. Global open · 2026Article
- Single-stage delayed hybrid reconstruction after failed implant-based breast surgery using the pedicled thoracodorsal artery perforator flap: a report of three cases.Case reports in plastic surgery & hand surgery · 2026Article
- Supercharged and Delayed Thoracodorsal and Dorsal Intercostal Artery Perforator Flaps for Autologous Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2025Article
- The Present and Future of Robotic Surgery in Breast Cancer and Breast Reconstruction.Journal of clinical medicine · 2025Review
- Assessing Donor Site Morbidity and Impact on Quality of Life in Free Flap Microsurgery: An Overview.Life (Basel, Switzerland) · 2024Review
- Microsurgical breast reconstruction in the United States: a narrative review of the current state.Gland surgery · 2024Review
- Combined perforator flaps for total breast reconstruction-a narrative review and insights from massive weight loss cases.Gland surgery · 2024Review
- Latissimus Dorsi Flap and Thoracodorsal Artery Perforator Flap with Immediate Fat Transfer (LIFT and TIFT): A Retrospective Study about Total Breast Reconstruction in High-Risk Patients.Aesthetic plastic surgery · 2024Article
- The Ultrasound Evolution of Lateral Thoracic Perforator Flaps Design and Harvest for Partial and Total Breast Reconstruction.Aesthetic plastic surgery · 2024Article
- Long-term patient-reported back and shoulder function after delayed breast reconstruction with a latissimus dorsi flap: case-control cohort study.The British journal of surgery · 2024Observational
- Surgical Delay of Thoracodorsal Artery Perforator Flaps for Bilateral Autologous Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2024Article
- Breast reconstruction with donor tissue from the back-an evolution towards customized reconstructive solutions guided by innovative surgery and patient wishes.Gland surgery · 2023Article
- Anterior-First Approach for Latissimus Dorsi Myocutaneous Flap Breast Reconstruction: A Refined Elevation Method with Detailed Video Instructions.Journal of clinical medicine · 2022Article
- Surgical treatment results in patients with defects of the integumentary tissues of the trunk and limbs of mechanical origin.Journal of medicine and life · 2022Article
- Parascapular Flap for Severe Hidradenitis Suppurativa.Case reports in dermatologyArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.