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Permutations of combined free flaps using the subscapular system
1Division of Plastic Surgery, Lehigh Valley Hospital, Allentown, Pennsylvania, USA.
Journal of Reconstructive Microsurgery
|January 1, 1997
Summary
Free flaps from the subscapular system offer numerous permutations for reconstruction. However, combined flaps from this donor site are rarely needed, suggesting limited indications for complex reconstructions.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- The subscapular system is a common donor site for free flaps.
- Over 60 permutations of free flaps can be designed from this system.
Observation:
- Combined flaps from the subscapular system were used in only 10% of cases.
- This suggests limited indications for complex reconstructive needs using combined flaps from this donor site.
Findings:
- Simultaneous transfer of latissimus dorsi and serratus anterior muscles is possible via a single subscapular pedicle.
- This approach allows for coverage of disparate wound sites and protection of microanastomoses.
Implications:
- Combined subscapular flaps offer advantages like increased surface area and minimized tendon adhesions.
- They enable dynamic restoration of multiple paralyzed muscles with a single donor site violation.