Author:
Dorairaj Jemima J,Kiernan Gareth D,Sheikh Rizwan,Zinn Richard
Abstract
The latissimus dorsi (LD) flap has classically been described for posterior upper quadrant trunk defects. Perforator flaps have gained popularity among reconstructive surgeons as the predictable anatomy and muscle-sparing nature of parascapular flaps make this an attractive reconstructive option. We describe the versatility of the parascapular flap for reconstruction of defects in the axilla, deltoid, scapula and paraspinal region performed in six patients over a two-year period. The history of the parascapular flap, technique, patient outcomes and technical pearls are also discussed. We recommend this flap be considered a workhorse flap for defects in the posterior upper quadrant.
Publisher
Australian Society of Plastic Surgeons
Reference7 articles.
1. Zenn MR, Jones GE. Reconstructive surgery: anatomy, technique and clinical applications. St Louis,Missouri: Quality Medical Publishing Inc, 2012.
2. Hallock GG. Reconstruction of posterior trunk defects. Semin Plast Surg. 2011;25(1):78–85. https://doi.org/10.1055/s-0031-1275174 PMid:22294946 PMCid:PMC3140241
3. Mayou BJ, Whitby D, Jones BM. The scapular flap: an anatomical and clinical study. Br J Plast Surg. 1982;35(1):8–13. https://doi.org/10.1016/0007-1226(82)90076-5
4. Ohsaki M, Maruyama Y. Anatomical investigations of the cutaneous branches of the circumflex scapular artery and their communications. Br J Plast Surg. 1993;46(2):160–63. https://doi.org/10.1016/0007-1226(93)90152-2
5. Cormack GC, Lamberty BGH. The arterial anatomy of skin flaps. Edinburgh, Scotland: Churchill Livingstone, 1986.