Axillary scar contracture constitutes one of the most difficult problems in a burn patient. Free parascapular flap for neck reconstruction with unusual pattern failure 115 int j burn trauma 2018. Pdf osteofasciocutaneous parascapular flap transfer for. Flap was well vascularized after performing end to end anastomoses with 100 monofilament suture of circumflex scapular artery to facial artery and the two commitant. Clinical experiences with the scapular fascial free flap.
A parascapular flap used to cover the palmar and the dorsal aspects of the finger. The scapular free flap elrikrh journal of plastic surgery i 982 35, 27 c 1982 the trustees of british association of plastlc surgeons 0007. Osteofasciocutaneous parascapular flap transfer for reconstruction of the first ray of the foot. The extended free scapular flap journal of plastic, reconstructive. The parascapular flap is extremely versatile in the. Parascapular flap an overview sciencedirect topics. The conjoined parascapular and latissimus dorsi free flap. The scapular osteofasciocutaneous flap is unique for its diversity of available skin, bone, and muscle, as well as the mobility of the soft tissue components relative to the bone. Fractures of the talus or calcaneus with accompanying soft tissue damage. Ris zotero endnote bibtex medlars procite refworks reference manager mendeley. In case 2, a fiveisland combined flap, consisting of the scapular, parascapular flap, the lattissimus dorsi muscle flap, the serratus anterior fascial flap, and the scapular osseous flap, was used. Parascapular skin flap marked over the triangular fossa. Parascapular free flaps in skin malignancies request pdf. The utilization of preexpanded extended island parascapular flap is an.
A variant of the parascapular flap is the inframammary extended circumflex scapular imecs flap. Preexpanded extended island parascapular flap for reconstruction of postburn neck contracture. Coleman and sultan 5 described use of this pedicle to form a bipedicled osteocutaneous scapular flap using the angular branch to solely supply bone in 6 of 8 cases. The scapularparascapular flap is based on the circumflex scapular artery csa, which is a branch of the subscapular artery.
Pdf a free parascapular cutaneous flap combined with a latissimus dorsi muscle flap on a common pedicle. Free scapular or parascapular flaps for soft tissue. The parascapular flap was deepithelialized and used to. Dye and contrast studies of 32 scapular regions have demonstrated a reliable blood supply of the scapula. The attractiveness of this flap is based on the constant vascular anatomy of the cutaneous branch of the circumflex scapular artery, the long vascular pedicle and. Flap elevation was performed by first redesigning the fascia according to the defect.