›› 2012, Vol. 32 ›› Issue (5): 633-.doi: 10.3969/j.issn.1674-8115.2012.05.022

• Original article (Clinical research) • Previous Articles     Next Articles

Bilobed latissimus dorsi flap for reconstruction of large deep tissue defects

WANG Chao-yang1, ZHANG Yi-xin2, WANG Dan-ru2, PU Zhe-ming2, LUO Xian-ping3, SU Wei-jie2, QIAN Yun-liang2, Caroline Messmer2   

  1. 1.Department of Plastic Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China;2.Department of Plastic and Reconstructive Surgery, the Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China;3.Department of Plastic Surgery, Liaohe Oil Field Central Hospital, Panjin 124010, China
  • Online:2012-05-28 Published:2012-06-01


Objective To introduce a new incision method for latissimus dorsi flap in reconstruction of large deep tissue defects. Methods Six patients with large deep tissue defects were selected, including 4 patients with wound defects in parietal region and 2 patients with wound defects in lower extremity, and the width of wound was more than 8 cm for each patient. The bilobed latissimus dorsi flap was designed, and two smaller skin paddles were lined up on one side of the back. The smaller skin paddles allowed primary closure of donor site, and were used to resurface a large defect when combined. Results The transplanted skin flaps survived in all the 6 patients, and the maximum area of skin flap was 18 cm×16 cm. The donor sites were closed primarily in all patients, with linear scar left only. Patients were followed up for 3 to 6 months, and all were satisfied with the aesthetic and functional outcomes of the donor sites. Conclusion The design of bilobed latissimus dorsi flap allows reconstruction of a large defect and primary closure of the donor site, with less invasion and favorable appearance.

Key words: latissimus dorsi flap, bilobed flap, donor-site morbidity, defect