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The extended free scapular flap.

A Thoma¹, S Heddle

¹Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

British Journal of Plastic Surgery

|November 1, 1990

Summary

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The free scapular flap, a versatile surgical technique, can be safely extended past the midline of the back. This allows for large flap harvests from the upper back, ideal for extensive defect repair.

Area of Science:

Plastic Surgery
Reconstructive Surgery
Microsurgery

Background:

The free scapular flap is a reconstructive option utilizing the circumflex scapular vascular pedicle.
Its anatomical limitations for resurfacing large defects have been a consideration in reconstructive surgery.

Observation:

The circumflex scapular vascular pedicle can reliably supply a free scapular flap that extends beyond the midline of the back.
The upper back region offers a donor site for exceptionally large and elongated flaps.

Findings:

The study demonstrates that the free scapular flap can be safely designed to cross the midline.
This technique enables the harvesting of significantly larger and longer flaps than previously thought possible.

Implications:

Related Experiment Videos

This finding expands the utility of the free scapular flap for resurfacing extensive defects in various anatomical locations.
It provides reconstructive surgeons with a more robust option for challenging cases requiring large tissue transfers.