Article Sidebar
Views pdf: 70
DIMENSIONS OF ARTERIES SUPPLYING THE SERRATUS ANTERIOR MUSCLE IN ADULT VIETNAMESE PEOPLE
Main Article Content
Abstract
Introduction: Vascular pedicle length and diameter characteristics are crucial for flap reconstruction, especially in local or free flap transfers with vascular pedicles. Larger pedicle length and diameter increase flap versatility and enhance survival rates in reconstructive surgery. Objective: To identify the arterial sources and determine the length and diameter of the vascular pedicles supplying the serratus anterior muscle. Results: The mean age of the embalmed cadavers was 65 years, ranging from 25 to 88 years old. The male-to-female ratio was 64.17% male and 33.83% female. Five primary arterial sources were identified. Group 1: The upper and middle portions of the serratus anterior muscle were supplied by the superior and lateral thoracic arteries. Group 2: The lower portion of the muscle received blood from the subscapular artery, thoracodorsal artery, and latissimus dorsi artery. The diameter of all arteries exceeded 1.00 mm, meeting the requirements for microsurgical anastomosis. The vascular pedicle length varied, with the thoracodorsal artery having the longest length of up to 10.3 cm. Conclusion: The blood supply to the serratus anterior muscle is relatively diverse, with multiple pedicles of sufficient length and diameter, allowing for flexible applications in local pedicled flaps and free flap transfers.
Article Details
Keywords
serratus anterior muscle flap, diameter, length, artery.
References
2. Nguyễn Huy Phan, Nguyễn Bắc Hùng (1997), "Sử dụng vạt da – cơ lưng rộng có cuống và tự do trong phẫu thuật tạo hình", Tạp chí Y học Việt Nam, 20, tr. 125-132.
3. Nguyễn Roãn Tuất (2011), Nghiên cứu giải phẫu cuống mạch ngực lưng và Vạt da cơ lưng to ứng dụng trong phẫu thuật tạo hình, Luận án tiến sĩ Y Học, Học viện Quân Y 103, Hà Nội.
4. Serafin D. (1996), Atlas of microsurgical composite tissue transplantation, Saunders, Philadelphia.
5. Valnicek S.M., Mosher M., Hopkins J.K. et al (2004), "The Subscapular Arterial Tree as a Source of Microvascular Arterial Grafts", Plastic and Reconstructive Surgery, 113(7), pp. 2001-2005.
6. Bartlett S.P.e.a. (1981), "The latissimus dorsi muscle: A fresh cadaver study of the primary neurovascular pedicle", Plastic and reconstructive surgery, 67, p. 636.
7. Masquelet A.C., and Gilbert A. (1995), An atlas of flaps in limb reconstruction, M. Dunitz ; J.B. Lippincott, London; Philadelphia.
8. Godat D.M., Sanger J.R., Lifchez S.D., et al. (2004), "Detailed neurovascular anatomy of the serratus anterior muscle: implications for a functional muscle flap with multiple independent force vectors", Plast Reconstr Surg, 114(1), pp. 21-29; discussion 30-21.
9. Tobin G.R., Schusterman M., Peterson G.H., et al. (1981), "The Intramuscular Neurovascular Anatomy of the Latissimus Dorsi Muscle The Basis for Splitting the Flap", Plastic and Reconstructive Surgery Plastic and Reconstructive Surgery, 67(5), pp. 637-641.