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The teres major is often used for reconstruction, hence, the arterial supply to the muscle is provided by the CSA in 66.6 % of cases and by the thoracodorsal artery in 33.3 % of cases (Dancker et al.).
We chose pedicled fibular perforator flaps for small size defects, free anterolateral thigh perforator flap, free DIEP flap, and free thoracodorsal artery perforator flap for large and superficial wounds.
The thoracodorsal artery and vein are preserved in the vascular pedicle, and the long thoracic nerve is protected for the facial neurorrhaphy.
The latter continued 1 cm more at length to terminate at the division of the circumflex scapular artery and thoracodorsal artery. The intermediate trunk coursed as a typical axillary artery, and branched off the anterior circumflex humeral artery in its third part (Fig.