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Related Experiment Videos

The scapular free flap

S G Hamilton, W A Morrison

    British Journal of Plastic Surgery
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    The scapular free flap, based on the circumflex scapular artery, offers a safe and effective alternative for skin reconstruction. It provides excellent aesthetic and functional outcomes, minimizing donor site morbidity compared to traditional methods.

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    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery
    • Microsurgery

    Background:

    • The latissimus dorsi free flap is a common choice for large tissue defects.
    • Limitations exist regarding donor site morbidity and contour deformity with latissimus dorsi flaps.

    Observation:

    • A novel, purely cutaneous free flap was successfully utilized in three patients.
    • This scapular flap is based on the cutaneous branch of the circumflex scapular artery.
    • The flap is hairless, of intermediate thickness, and easy to dissect.

    Findings:

    • The scapular flap offers predictable revascularization due to its vessel characteristics.
    • Flap dimensions up to 24 cm in length and 12 cm in width were achieved.
    • Donor site morbidity is limited to a linear scar with no functional deficit or contour distortion.

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    Implications:

    • The scapular flap is a viable alternative to the latissimus dorsi flap for defects within its size parameters.
    • It can be combined with the latissimus dorsi flap for extensive reconstruction.
    • This technique offers improved aesthetic and functional results for patients.