作者
David M Godat, James R Sanger, Scott D Lifchez, René F Recinos, Ji-Geng Yan, Monica R Godat, Carlos E Ramirez, Hani S Matloub
发表日期
2004/7/1
期刊
Plastic and reconstructive surgery
卷号
114
期号
1
页码范围
21-29
出版商
LWW
简介
A functional muscle free flap with multiple muscle segments that could be oriented independently to produce different force vectors would be beneficial in facial reanimation and upper extremity reconstruction. The serratus anterior muscle has this potential because two or more individual muscle slips can be transferred on a single vascular pedicle. Although serratus anterior muscular anatomy has been studied previously, little attention has been given to the intramuscular anatomy. Muscle slips 5 through 9 (and 10, if present) in 50 specimens from 27 cadavers were studied following intraarterial latex injection. Eight specimens were injected with a radiopaque material (latex/diatrizoate/lead mixture) for x-ray delineation of the intramuscular vascular pattern. Slips 5 through 9 are consistently supplied by a single dominant branch of the thoracodorsal artery and innervated by the long thoracic nerve. Dissection revealed …
引用总数
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