STUDY ANATOMICAL CHARACTERISTICS OF THE ARTERY OF SERRATUS ANTERIOR FLAP
Main Article Content
Abstract
Background: the flap of serratus anterior muscle is used to create simple or complex flap, flap surgery was first reported in 2007. Now, the flaps are regarded as the choice of the surgeon. Objectives: 1. Determined the average length and diameter of the blood supply artery of the anterior serratus flap.2. Describe the variants of the blood supply artery of the anterior serratus flap. Materials and methods: Surgery and analysis on 120 specimens of chest area from 60 deads identified as Vietnamese adults aged 16 to 80 years. Results: in all the specimens, the serratus anterior muscle flap artery was derived from the back chest arteries(thoracodorsal) about 120/120 (100%), latissimus dorsi muscle artery (myocutaneous) of 24/120 (20%). The flap vessel stem consists of an artery and a vein with length of 9.0-15.0 cm, averaging 11.56 cm. The average diameter of artery is 2.22 ± 0.46 mm, the average diameter of vein is 2.22 mm. The Thoracodorsal artery for the branch feeding the serratus anterior muscle flap: 40% for 1 body, 26.7% for 2 bodies, 13.3% for 3 bodies, 6.7% for different kinds of bodies, 13.3% for combination form. The distribution of blood vessel to muscle type V is (83.7%), type I,II,III (16.7%). The serratus interrior muscle flap artery separated into the branch of myocutaneous of 24/120(20%), average diameter of 1.5mm. Conclusions: The serratus anterior muscle flap artery were derived from the back Thoracodorsal artery and myocutaneous artery and there are 5 types for the branch from back check artery to flap.
Article Details
Keywords
Serratus anterior flap, the serratus anterior muscle flap artery
References
2. Nguyễn Văn Lâm (2007), Nghiên cứu giải phẫu các vạt phụ thuộc vào động mạch dưới vai, luận án tiến sĩ khoa học Y Dược , Đại học Y Hà Nội.
3. Nguyễn Việt Tiến (2011), Vạt tổ chức có cuồng mạch nuôi: giải phẫu, kỹ thuật bóc tách và ứng dụng trong phẫu thuật phục hồi ở chi thể, Nhà xuất bản Y học, Hà Nội, tr. 51-64
4. Lê Hồng Hải (2005), Nghiên cứu giải phẫu và ứng dụng lâm sàng vạt da- cân bả vai, bên bả trong điều trị khuyết hổng phần mềm lớn vùng cẳng chân, bàn chân, Luận án tiến sỹ Y Học, Học Viên Quân Y, Hà Nội
5. Agur.A.M.R (2009), Grant's Atlas of Anatomy, Williams & Wilkins, p 381.
6. Botianu, P., Botianu, A. (2013), "Use of the serratus anterior muscle flap for postoperative empyema - a single center experience with 25 consecutive cases". Chirurgia (Bucur), 108(5), 695-699
7. Deune, E. G., Manson, P. N. (2004), "Use of the serratus anterior free flap to treat a recurrent oroantral fistula". J Craniofac Surg, 15(2), 335-340
8. Serfin, D. (2016). Atlas of microsurgical composite tissue transplantation. W.B. Sauder company. P(191-219)
9. Gordon L. et al. (1993), "The serratus anterior free-muscle transplant for reconstruction of the injured hand: An analysis of the donor and recipient sites”. Plastic and reconstructive surgery. 92 (1): 97-101.
10.Inoue, T. et al. (1991), ”The pedicled extended serratus anterior muocutaneous flap for head and neck reconstruction”. Bristish Journal of Plastic Surgery. 44 (4): 259-265.