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[The subscapular combined free flap. Original technique]
M A Germain1, G Demers, B Luboinski
1Service de Chirurgie, Hôpital Max Fourestier, Nanterre.
Journal De Chirurgie
|October 1, 1994
Summary
Combined subscapular flaps offer spatial flexibility for reconstructing large tissue defects. Anatomical variations necessitate axillary pedicle dissection for successful cervicofacial reconstructions.
Area of Science:
- Plastic Surgery
- Anatomy
- Reconstructive Surgery
Context:
- Subscapular pediculated flaps, including latissimus dorsi, serratus, and scapular crest flaps, are increasingly utilized.
- These components form a combined subscapular flap, valued for its spatial flexibility in reconstruction.
Purpose:
- To detail the anatomy and surgical techniques of combined subscapular flaps.
- To highlight the flap's utility in reconstructing complex, massive tissue losses, particularly in cervicofacial areas.
Summary:
- Anatomical study revealed subscapular pedicle origin variations in 25% of 50 cases.
- Recommends initial axillary route dissection for pedicle identification and adaptation.
- The combined flap can be harvested with the patient in the supine position, beneficial for simultaneous surgical teams.
Impact:
- Facilitates reconstruction of extensive pluri-tissular substance losses.
- Enables efficient cervicofacial reconstruction, especially when patient repositioning is not feasible.
- Fifteen successful combined subscapular transplantations for cervicocephalic reconstructions performed since 1990.