Thoracodorsal artery perforator flap, a workhorse flap | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 29 June 2024 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2024.292552.1362 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed elnahas1; fouad ghareeb2; Mohamed abo el hoda  3
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| 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. | ||||
| Keywords | ||||
| Thoracodorsal; Free; Flap; pedicled | ||||
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