latissimus dorsi myocutaneous flap
Pronunciation: lah-TIS-ih-mus DOR-sigh MY-oh-kyoo-TAY-nee-us
A muscle and skin flap harvested from the back using the latissimus dorsi muscle for breast reconstruction.
Full Definition
The latissimus dorsi myocutaneous flap is a pedicled flap technique that uses the latissimus dorsi muscle along with overlying skin and fat from the patient's back. The muscle's blood supply through the thoracodorsal vessels allows the flap to be rotated to the front of the chest for breast reconstruction. This technique is often combined with implant placement due to insufficient tissue volume for complete reconstruction. It provides good coverage and is particularly useful in patients who have had radiation therapy or when other flap options are contraindicated.
Usage
Usage note: Often abbreviated as LD flap in clinical documentation. The muscle name 'latissimus dorsi' should not be hyphenated.
In Context
- "A latissimus dorsi myocutaneous flap with implant was planned for immediate breast reconstruction." — Pre-operative planning note
- "The latissimus dorsi myocutaneous flap provided excellent coverage over the tissue expander." — Operative report