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Free ascending scapular flap.

Y Iwahira¹, Y Maruyama

¹Department of Plastic and Reconstructive Surgery, Toho University Hospital, Tokyo, Japan.

Annals of Plastic Surgery

|June 1, 1992

Summary

The free ascending scapular flap offers a reliable option for tissue transfer, featuring consistent vasculature and minimal donor site morbidity. This technique ensures flap survival and preserves shoulder function.

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Microsurgery

Background:

Free tissue transfer is a cornerstone of reconstructive surgery.
Identifying reliable flaps with consistent vascular anatomy is crucial for successful outcomes.
The ascending scapular flap presents a potential alternative for specific reconstructive needs.

Observation:

This study presents four cases of free tissue transfer utilizing the ascending cutaneous branches of the circumflex scapular vessels.
The free ascending scapular flap is anatomically distinct, positioned on the superior vertical axis.
Its design differentiates it from the horizontally oriented scapular flap and vertically oriented parascapular flap.

Findings:

The ascending scapular flap demonstrated ease of dissection and a reliable arterial and venous system.
Vessel diameters ranged from 2 to 3 mm, with sufficient pedicle length for microvascular anastomosis.
All four flaps achieved complete survival with thin skin coverage, and primary closure of the shoulder donor site was possible without functional deficit.

Implications:

The ascending scapular flap is a viable and advantageous option for free tissue transfer.
Its consistent vascular supply and minimal donor site morbidity make it suitable for various reconstructive scenarios.
Further research can explore its application in a broader range of clinical situations.

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