According to the Mathes and Nahai classification of muscle flaps based on their vascular supply, the latissimus dorsi, supplied by one dominant thoracodorsal pedicle plus secondary segmental pedicles, belongs to which type?
- A Type I
- B Type III
- C Type IV
- D Type V ✓
Correct answer: D. Type V
Explanation
Mathes and Nahai Type V muscles have one dominant vascular pedicle plus secondary segmental pedicles; the latissimus dorsi and pectoralis major are the classic examples. Type III describes muscles with two dominant pedicles such as gluteus maximus, serratus anterior, and rectus abdominis, and Type IV describes segmental pedicle muscles like sartorius and tibialis anterior.
Reference: Grabb and Smith's Plastic Surgery, 8th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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