Latissmus Dorsi Flap for Head and Neck Reconstruction

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2025-10-31

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Abstract
The flap can be harvested as a pedicled or free flap and as a muscular or myocuta-neous flap with an overlying skin paddle. It can also be harvested along with any other flap based on the subscapular vascular system as a chimeric or subscapular “mega-flap”. Despite its size it can be harvested without significant donor site morbidity. The muscle is normally about 1cm thick. Because it atrophies significantly if it is not reinnervated, it is a popular option for scalp reconstruction and for other defects in the head and neck area including reconstruction of skull base and total glossectomy defects.
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