en عمومى General مقالات اصيل Original Article <div><span style="font-size: 13px;">BACKGROUND</span></div> <div><span style="font-size: 13px;">Although, the lateral thoracodorsal flap is a well described technique, its utility seems to be lost in the ever evolving world of oncoplastic breast surgery. This study reviews the technique, its indications and limitations and the advantage of this technique.</span></div> <div><span style="font-size: 13px;">METHODS</span></div> <div><span style="font-size: 13px;">Between January 2016 and January 2018, data from 7 consecutive patients who underwent partial breast mastectomy with lateral thoracodorsal flap were enrolled.&nbsp; A wedge shaped flap was designed using the pinch test using the index finger and the thumb in small defects, while larger defects required a convex shaped incision with curved superior and inferior borders. Incision was made along the marked margins of the proposed flap and deepened to the underlying serratus anterior and latissimus dorsii muscle. The flap was transposed in the defect and the symmetry of mound between the two breasts confirmed in sitting and supine position.&nbsp;</span></div> <div><span style="font-size: 13px;">RESULTS</span></div> <div><span style="font-size: 13px;">All patients were satisfied by cosmetic outcomes on visual analog scale (VAS). Cosmetic results based on Harvard scale showed good to excellent scores. Evaluation by Breast Cancer Conservation Treatment (BCCT) core software illustrated good to excellent cosmetic outcomes. There was no delayed wound healing, marginal skin ornecrosis and no evidence of any fat necrosis in the follow up period.</span></div> <div><span style="font-size: 13px;">CONCLUSION</span></div> <div><span style="font-size: 13px;">The versatility of latissimus dorsii flap, good aesthetic and functional results and its simple execution made it an important option in the armamentarium of the oncoplastic breast surgeon. Also, morbidity of the donor site was minimized without sacrificing muscles or nerves.&nbsp;</span></div> Breast, Conservative surgery, Oncoplastic surgery, Volume replacement, Thoracodorsal flap 206 212 http://wjps.ir/browse.php?a_code=A-10-437-1&slc_lang=en&sid=1 Pavneet Kohli kohli.pavneet@gmail.com 10031947532846008653 10031947532846008653 No Department of Surgical oncology, JIPMER, Dhanvantri Nagar, Puducherry, India Prasanth Penumadu drpenumadu@gmail.com 10031947532846008654 10031947532846008654 No Department of Surgical oncology, JIPMER, Dhanvantri Nagar, Puducherry, India Kadambari Dharanipragada kadambari1909@gmail.com 10031947532846008655 10031947532846008655 No Department of General Surgery, JIPMER M.T. Friji frijimt@gmail.com 10031947532846008656 10031947532846008656 Yes Department of Plastic Surgery, JIPMER, Dhanvantri Nagar, Puducherry, India