TY - CHAP M1 - Book, Section TI - Chapter 80. Breast Reconstruction with the Autogenous Latissimus Flap A1 - Persons, Barbara A1 - Collins, Beth A1 - Papp, Christoph A1 - McCraw, John A2 - Kuerer, Henry M. PY - 2010 T2 - Kuerer's Breast Surgical Oncology AB - With the increasing use of skin-sparing mastectomies, oncoplastic procedures, and immediate reconstructions, the autogenous latissimus breast reconstruction has experienced a resurgence of interest. The "autogenous latissimus flap" refers to self-derived composite of muscle, fat, and skin. This concept is based on the ability of the latissimus muscle to "carry" fat on its surface. This composite of fat and muscle is extremely helpful in several ways. It adds volume, which may be adequate to replace the breast shape without using an implant. It is also an ideal local tissue replacement for oncoplastic procedures and the correction of irradiation fibrosis. The autogenous latissimus flap further serves as a "backup" flap for microvascular and TRAM flap breast reconstructions, when there is partial or complete flap loss. Finally, the autogenous latissimus flap can be used to create an aesthetic breast both with and without an implant. The latissimus muscle is an "expendable" muscle, in the sense that its loss of function is seldom noticed. The primary concern about functional loss is in the motion of "pushing off" with a ski pole.1 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=6416409 ER -