Alternative flaps in autologous breast reconstruction Review


Authors: Myers, P. L.; Nelson, J. A.; Allen, R. J. Jr
Review Title: Alternative flaps in autologous breast reconstruction
Abstract: The gold standard for autologous reconstruction in the post-mastectomy patient remains the deep inferior epigastric artery perforator flap, although many women may not be candidates for abdominally based free tissue transfer. In this scenario, there are several other donor site options based from the thigh (transverse and diagonal upper gracilis flaps, profunda artery perforator flap, lateral thigh flap) and trunk (lumbar artery perforator flap, superior and inferior gluteal artery perforator flaps). This study will review the history, relevant anatomy, surgical technique and outcomes for alternative flaps in autologous reconstruction. Additionally, preoperative imaging (CTA, MRA) and novel applications (stacking flaps, neurotization) in breast reconstructive microsurgery will be discussed. © 2021. Gland Surgery. All rights reserved.
Keywords: breast reconstruction; microsurgery; autologous tissue reconstruction
Journal Title: Gland Surgery
Volume: 10
Issue: 1
ISSN: 2227-684X
Publisher: AME Publishing Company  
Date Published: 2021-01-01
Start Page: 444
End Page: 459
Language: English
DOI: 10.21037/gs.2020.03.16
PROVIDER: scopus
PMCID: PMC7882326
PUBMED: 33634002
DOI/URL:
Notes: Review -- Export Date: 1 March 2021 -- Source: Scopus
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  1. Jonas Allan Nelson
    209 Nelson
  2. Paige L. Myers
    7 Myers