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The vascularized cutaneous scapular flap

J R Urbaniak, L A Koman, R D Goldner

    Plastic and Reconstructive Surgery
    |May 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    The free scapular flap offers a reliable solution for intermediate-sized skin coverage when other methods fail. This surgical technique provides a constant vascular supply and allows primary closure of the donor site without functional deficit.

    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery
    • Microsurgery

    Background:

    • Conventional methods for intermediate-sized skin coverage are often insufficient.
    • Free tissue transfer offers a viable alternative for complex reconstructive challenges.

    Observation:

    • A free scapular flap utilizing cutaneous and circumflex scapular vessels was employed in five cases.
    • This flap is suitable for intermediate-sized (6-10 x 10-16 cm) uninnervated coverage.
    • The flap offers easy exposure, a constant vascular system (2-3 mm diameter vessels), and a 4-6 cm pedicle.

    Findings:

    • The free scapular flap demonstrated efficacy in achieving necessary coverage.
    • The donor site at the shoulder allows for primary closure.
    • No functional deficit was observed at the shoulder or posterior chest wall post-operatively.

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    Implications:

    • The free scapular flap is a valuable reconstructive option for specific clinical scenarios.
    • It expands the armamentarium for plastic and reconstructive surgeons.
    • Further research may explore long-term outcomes and broader applications.