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  • Title: Repair of major defects of the chest wall and spine with the latissimus dorsi myocutaneous flap.
    Author: McCraw JB, Penix JO, Baker JW.
    Journal: Plast Reconstr Surg; 1978 Aug; 62(2):197-206. PubMed ID: 353843.
    Abstract:
    The latissimus dorsi myocutaneous flap is a remarkably durable and versatile flap. Flap necrosis did not occur in any of our patients. One can safely carry with it skin segments as narrow as 3 cm, or as wide as 30 cm. In addition to the 5 cases presented, we have used the flap to repair axillary burn contractures, for breast reconstruction after a transverse incision, and for coverage of the upper arm and shoulder. The applications of this flap challenge the creative imagination of the surgeon and allow a simplified reconstruction, compared to other good methods. The newly described posterior advancement of a latissimus dorsi myocutaneous flap is suggested as the preferred method to repair meningomyelocele defects.
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