Evaluation of the Donor Site Morbidity Following Harvesting of Thoracodorsal Artery Perforator Flap

SADAKA, MOHAMED SAAD

doi:10.21608/ejprs.2025.425142

Evaluation of the Donor Site Morbidity Following Harvesting of Thoracodorsal Artery Perforator Flap

Document Type : Original Article

Author

MOHAMED SAAD SADAKA

The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Tanta University

10.21608/ejprs.2025.425142

Abstract

Background: The use of the thoracodorsal artery perforator
(TAP) flap preserves the latissimus dorsi (LD) muscle and,
Hence, reduces donor site morbidity and complications.
Objective: In this study, we evaluate the donor site morbidity
of the TAP flap regarding aesthetic and functional aspects.
Methods: In this study, we evaluated the resulting aesthetic
and functional consequences of the harvest of the thoracodorsal
artery perforator flap. This included postoperative donor
site complications. The shoulder function was evaluated 3-6
months post-operatively by the QUICKDASH scale. The donor
site scar quality and related problems were assessed six months
post-operatively by using three scar scoring systems (the patient
scar assessment scale, observer scar assessment scale, and
the Vancouver Scar Scale).
Results: Minimal donor site complications were reported
With three cases of wound dehiscenc,e two of them managed
Conservatively, one case of wound infection and one case of
seroma. We used three scar assessment scores, which showed
Good scar quality except for the cases where skin graft was used
to cover the donor site when its width exceeded 10cm. Regarding
functional outcome, we found normal shoulder movements
Except for the early limitation of abduction and forward elevation
that were improved with time.
Conclusion: The use TAP flap reduces donor site complications
and morbidity, and should be used when feasible as an
Alternative to the LD musculocutaneous flap.

Keywords

Main Subjects

Flaps

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