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Perforator flaps based on the deltoid branch of the thoracoacromial artery: anatomical study

Year 2021, Volume: 15 Issue: 1, 36 - 43, 29.04.2021

Abstract

Objectives: Tissue defects in the lateral triangle of the neck and the anterior cervical region represent a high demand for plastic and reconstructive surgery. Their management most often requires regional or free flaps. The perforator flap based on the deltoid branch of the thoracoacromial artery (TAA) may be a good solution for these indications. The objective of this work is to propose anatomical landmarks to raise perforator flaps pedicled on the deltoid branch of the TAA.
Methods: We carried out dissection of 24 perforator flaps based on the deltoid branch of the TAA, in body donor specimens preserved in a glycerin-rich, formalin-free solution. The TAA was first injected with methylene blue. The vascular territory, location of perforators relative to known landmarks, along with the flap’s potential amplitude and arc of rotation were studied.
Results: The main perforating arteries of the flap were located in the middle of the deltopectoral groove, often surrounded by adipose tissue in 18 out of 24 dissections. In 22 out of 24 dissections, there were at least 2 perforator arteries originating from the deltoid branch. The average diameter of the perforator arteries was 1 mm. The flap’s amplitude of movement made it possible to reach in all cases the lateral triangle of the neck and the anterolateral cervical region.
Conclusion: The thoracoacromial artery has already been used for perforator flaps. However, the individualization of its deltoid branch offers to practitioners new surgical options. This anatomical study of the perforator flap based on the deltoid branch of the TAA made it possible to review the anatomical bases for the raising of this flap, and to fix useful landmarks for the surgeon in order to propose an easily feasible surgical technique.

References

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There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Philippe Manyacka Ma Nyemb This is me 0000-0002-3339-4312

Christian Fontaine This is me 0000-0001-9280-7546

Véronique Duquennoy-martinot This is me 0000-0003-4296-9736

Xavier Demondion This is me 0000-0003-2418-4396

Publication Date April 29, 2021
Published in Issue Year 2021 Volume: 15 Issue: 1

Cite

APA Manyacka Ma Nyemb, P., Fontaine, C., Duquennoy-martinot, V., Demondion, X. (2021). Perforator flaps based on the deltoid branch of the thoracoacromial artery: anatomical study. Anatomy, 15(1), 36-43.
AMA Manyacka Ma Nyemb P, Fontaine C, Duquennoy-martinot V, Demondion X. Perforator flaps based on the deltoid branch of the thoracoacromial artery: anatomical study. Anatomy. April 2021;15(1):36-43.
Chicago Manyacka Ma Nyemb, Philippe, Christian Fontaine, Véronique Duquennoy-martinot, and Xavier Demondion. “Perforator Flaps Based on the Deltoid Branch of the Thoracoacromial Artery: Anatomical Study”. Anatomy 15, no. 1 (April 2021): 36-43.
EndNote Manyacka Ma Nyemb P, Fontaine C, Duquennoy-martinot V, Demondion X (April 1, 2021) Perforator flaps based on the deltoid branch of the thoracoacromial artery: anatomical study. Anatomy 15 1 36–43.
IEEE P. Manyacka Ma Nyemb, C. Fontaine, V. Duquennoy-martinot, and X. Demondion, “Perforator flaps based on the deltoid branch of the thoracoacromial artery: anatomical study”, Anatomy, vol. 15, no. 1, pp. 36–43, 2021.
ISNAD Manyacka Ma Nyemb, Philippe et al. “Perforator Flaps Based on the Deltoid Branch of the Thoracoacromial Artery: Anatomical Study”. Anatomy 15/1 (April 2021), 36-43.
JAMA Manyacka Ma Nyemb P, Fontaine C, Duquennoy-martinot V, Demondion X. Perforator flaps based on the deltoid branch of the thoracoacromial artery: anatomical study. Anatomy. 2021;15:36–43.
MLA Manyacka Ma Nyemb, Philippe et al. “Perforator Flaps Based on the Deltoid Branch of the Thoracoacromial Artery: Anatomical Study”. Anatomy, vol. 15, no. 1, 2021, pp. 36-43.
Vancouver Manyacka Ma Nyemb P, Fontaine C, Duquennoy-martinot V, Demondion X. Perforator flaps based on the deltoid branch of the thoracoacromial artery: anatomical study. Anatomy. 2021;15(1):36-43.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).