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Related Experiment Videos

[The scapula flap--overview and personal experiences]

W Stock1, J A Fernandez-Palacios, R Hierner

  • 1Plastischen Chirurgie, Klinikum Innenstadt, Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|November 1, 1993
PubMed
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The scapula flap is a versatile fasciocutaneous free flap, favored for its reliability and aesthetic outcomes in reconstructions. Despite a noticeable donor site scar, it remains a preferred option for complex lower extremity and head-neck defects.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • The scapula flap, first described in 1980, has become a widely adopted fasciocutaneous free flap in reconstructive surgery.
  • Its consistent anatomy, minimal donor site morbidity, and favorable aesthetic results have led to its preference over traditional flaps like the radial forearm or latissimus dorsi.
  • As part of the subscapular artery system, it allows for en bloc harvesting with other flaps for complex reconstructions.

Observation:

  • The scapula flap is particularly effective for treating lower extremity cutaneous defects not amenable to local flaps.
  • It offers superior skin color and texture for head and neck reconstructions compared to other free flaps.
  • The primary drawback is a prominent horizontal scar at the donor site.

Findings:

Related Experiment Videos

  • The study reviews current concepts and presents a six-year experience with 30 cases utilizing the scapula flap.
  • Technical refinements and the potential future replacement of the scapula flap by the parascapula-flap are discussed.
  • The scapula flap is considered the treatment of choice for specific reconstructive challenges.

Implications:

  • The scapula flap offers a reliable and aesthetically pleasing option for complex reconstructive procedures.
  • Further research into flap modifications, such as the parascapula-flap, may enhance reconstructive outcomes.
  • This flap technique provides valuable solutions for challenging defects in lower extremity and head-neck regions.