{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T04:57:42Z","timestamp":1784782662798,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1984,10,1]],"date-time":"1984-10-01T00:00:00Z","timestamp":465436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1984,10]]},"abstract":"<jats:p>The purpose of this article is to familiarize the surgeon with the latissimus dorsi flap and some particularly useful applications of it. This flap has proved extremely versatile, with many uses, among them immediate coverage for extensive head and neck wounds. It has been equally successful in repairing defects in both normal and irradiated tissue. The range of the arc of utilization has been exceptional, easily reaching the skull vertex from the chest wall. However, to be able to extend this flap so far requires careful dissection of the neurovascular pedicle and intimate anatomic knowledge of the posterior axilla region. This flap's muscle bulk is quite acceptable and the donor site may almost always be closed primarily. There appears to be less functional disability from sacrifice of this muscle than with pectoralis or trapezius myocufaneous flaps. Accordingly, it is ideal when much tissue is needed for single\u2010stage coverage. Additional uses are available when flaps from other sites have failed.<\/jats:p>","DOI":"10.1177\/019459988409200509","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T07:00:41Z","timestamp":1448434841000},"page":"551-558","source":"Crossref","is-referenced-by-count":27,"title":["Extended Latissimus Dorsi Myocutaneous Flap Reconstruction of Major Head and Neck Defects"],"prefix":"10.1002","volume":"92","author":[{"given":"Michael D.","family":"Maves","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Indiana University School of Medicine Riley Hospital Indianapolis Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William R.","family":"Panje","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Iowa Hospitals and Clinics Iowa City Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank W.","family":"Shagets","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Lackland Air Force Base San Antonio Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1984,10]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00263281"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197805000-00004"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197901000-00006"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197964050-00009"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197808000-00007"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198004000-00001"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197711000-00002"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(78)90010-3"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197809000-00033"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197907000-00001"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197909000-00002"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920040109"},{"key":"e_1_2_1_14_1","first-page":"3","article-title":"Nuovo processo per l'amputazione della mammaella per cancre","volume":"12","author":"Tansini I","year":"1896","journal-title":"Riforma Medica"},{"key":"e_1_2_1_15_1","first-page":"757","article-title":"Spora il mio nuovo processo di amputazione della mammella","volume":"12","author":"Tansini I","year":"1906","journal-title":"Riforma Medica (Palermo, Napoli)"},{"key":"e_1_2_1_16_1","first-page":"164","article-title":"La technique de l'amputation de la mamelle pour carcinome mammaire","volume":"45","author":"D'Este S","year":"1912","journal-title":"Rev Chir"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198005000-00027"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197708000-00007"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197760030-00003"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197807000-00028"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197905000-00010"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(80)90018-1"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(81)90107-7"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198302000-00009"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348947908800403"},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1982.00790550018005"},{"key":"e_1_2_1_27_1","volume-title":"Clinical atlas of muscle and musculocutaneous flaps","author":"Mathes SJ","year":"1979"},{"key":"e_1_2_1_28_1","volume-title":"Clinical applications for muscle and myocutaneous flaps","author":"Mathes SJ","year":"1982"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198105000-00010"},{"key":"e_1_2_1_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198105000-00011"},{"key":"e_1_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197903000-00015"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988409200509","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988409200509","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:26:53Z","timestamp":1760956013000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988409200509"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1984,10]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1984,10]]}},"alternative-id":["10.1177\/019459988409200509"],"URL":"https:\/\/doi.org\/10.1177\/019459988409200509","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1984,10]]}}}