{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T23:26:59Z","timestamp":1786577219662,"version":"build-2736575974"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Reconstruction of axillary defects after oncologic resection is particularly challenging in patients with prior axillary dissection and radiation, as traditional thoracodorsal-based flaps may be unreliable. We present a case of a 59-year-old woman with recurrent left axillary invasive ductal carcinoma, 18 years after lumpectomy, axillary dissection, chemotherapy, and radiation. En bloc resection involving the pectoralis minor and serratus anterior created a 6\u2009\u00d7\u20095\u2009\u00d7\u20092\u2009cm defect with exposed rib. A lateral intercostal artery perforator (LICAP) flap was used for reconstruction, based on a dominant perforator at the sixth intercostal space identified by Doppler and confirmed intraoperatively with indocyanine green angiography. The flap was de-epithelialized, tunneled to the axilla, and the donor site closed primarily. The patient achieved complete healing without necrosis or contracture and maintained full shoulder mobility after adjuvant chemoradiation. The LICAP flap offers a safe, reliable option for axillary reconstruction in previously treated fields.<\/jats:p>","DOI":"10.1055\/s-0046-1817012","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T22:41:00Z","timestamp":1776292860000},"page":"232-236","source":"Crossref","is-referenced-by-count":0,"title":["Lateral Intercostal Artery Perforator Flap for Axillary Breast Reconstruction in a Previously Irradiated and Dissected Field"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0722-972X","authenticated-orcid":false,"given":"Niki K.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Plastic, Reconstructive, and Hand Surgery, Department of Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Henderson","sequence":"additional","affiliation":[{"name":"Division of Plastic, Reconstructive, and Hand Surgery, Department of Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halil Safak","family":"Uygur","sequence":"additional","affiliation":[{"name":"Division of Plastic, Reconstructive, and Hand Surgery, Department of Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"e3334","DOI":"10.1097\/GOX.0000000000003334","article-title":"Breast reconstruction using the lateral thoracic, thoracodorsal, and intercostal arteries perforator flaps","volume":"9","author":"M L Mangialardi","year":"2021","journal-title":"Plast Reconstr Surg Glob 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Kim","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"12","key":"ref5","doi-asserted-by":"crossref","first-page":"e3263","DOI":"10.1097\/GOX.0000000000003263","article-title":"The use of local perforator flaps in delayed or secondary breast reconstruction","volume":"8","author":"E M Quinn","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"29","DOI":"10.5999\/aps.2017.01200","article-title":"The usefulness of pedicled perforator flap in partial breast reconstruction after breast conserving surgery in Korean women","volume":"45","author":"J B Kim","year":"2018","journal-title":"Arch Plast Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1097\/01.prs.0000298317.65296.cf","article-title":"The lateral intercostal artery perforators: anatomical study and clinical application in breast surgery","volume":"121","author":"M Hamdi","year":"2008","journal-title":"Plast Reconstr Surg"},{"key":"ref8","volume-title":"Perforator Flaps for Breast Reconstruction","author":"J L Levine","year":"2016"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/micr.22112","article-title":"Accidental injury of the latissimus dorsi flap pedicle during axillae dissection: types and reconstruction algorithm","volume":"34","author":"R Laporta","year":"2014","journal-title":"Microsurgery"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1007\/s13193-022-01645-0","article-title":"LICAP versus TDAP for the reconstruction of partial breast defects","volume":"14","author":"T Hashem","year":"2023","journal-title":"Indian J Surg Oncol"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0046-1817012.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T22:36:02Z","timestamp":1786574162000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0046-1817012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,15]]},"references-count":10,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,8,12]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0046-1817012","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,15]]}}}