elnahas, M., ghareeb, F., abo el hoda, M. (2024). Thoracodorsal artery perforator flap, a workhorse flap. The Egyptian Journal of Plastic and Reconstructive Surgery, (), -. doi: 10.21608/ejprs.2024.292552.1362
Mohamed elnahas; fouad ghareeb; Mohamed abo el hoda. "Thoracodorsal artery perforator flap, a workhorse flap". The Egyptian Journal of Plastic and Reconstructive Surgery, , , 2024, -. doi: 10.21608/ejprs.2024.292552.1362
elnahas, M., ghareeb, F., abo el hoda, M. (2024). 'Thoracodorsal artery perforator flap, a workhorse flap', The Egyptian Journal of Plastic and Reconstructive Surgery, (), pp. -. doi: 10.21608/ejprs.2024.292552.1362
elnahas, M., ghareeb, F., abo el hoda, M. Thoracodorsal artery perforator flap, a workhorse flap. The Egyptian Journal of Plastic and Reconstructive Surgery, 2024; (): -. doi: 10.21608/ejprs.2024.292552.1362
Thoracodorsal artery perforator flap, a workhorse flap
Articles in Press, Accepted Manuscript, Available Online from 29 June 2024
1Plastic Surgery Department , Faculty of Medicine , Menoufia University, Shebin Elkom, Menoufia, Egypt
2menoufia university
3plastic surgery department, menoufia university
Abstract
Objectives: TDAP is a workhorse flap as free and pedicled flap in complex soft tissue reconstruction
Background: Improvements in our knowledge of the vascular anatomy have enabled the design of a new type of fasciocutaneous flaps, which are based on perforating vessels only. Thus, donor site morbidity is markedly reduced.
Methods: The authors describe their experience about the role of TDAP flap in reconstruction of different complex tissue defects. Representative cases are presented for illustration.
Results: We conducted a study involving 24 patients who underwent TDAP flap reconstructions from January 2022 to January 2024. The patients aged 4 to 49 years. Flaps ranged in size from 12 cm × 6 cm to 26 cm × 15 cm. In 12 cases, two perforators were identified; in 9 cases, one perforator; and in 3 cases, three perforators. Free TDAP flaps were used in 17 cases, while pedicled flaps were used in 7 cases. The donor site was primarily closed in all cases without any movement restrictions. There was one case of partial flap loss, but no cases of total flap loss.
Conclusions: TDAP flap provides a reliable and versatile option for plastic surgeons in reconstruction of complex soft tissue defects with limited donor site morbidity and excellent functional and esthetic results.