Research Article| Volume 46, ISSUE 6, P508-510, 1993

The scapular fasciocutaneous flap: a new flap for reconstruction of the posterior neck

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      The axial, myocutaneous and free flaps have made immediate reconstruction of head and neck defects possible. Notwithstanding this remarkable progress, defects of the posterior neck leave the reconstructive surgeon with very little choice. The scapular fasciocutaneous flap is easy to harvest, reliable and versatile, with functional and cosmetic results comparable to free flaps. We describe the anatomy and the technique of this new donor site, along with a case report.


        • Bakamjian VY
        • Long M
        • Rigg B
        Experience with the medially based deltopectoral flap in reconstructive surgery of the head and neck.
        Br J Plast Surg. 1971; 24: 174-183
        • Ariyan S
        The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck.
        Plast Reconstr Surg. 1979; 63: 73-81
        • Hirabayashi S
        • Kejikawa A
        • Kanazawa K
        • Mimoto R
        Dermatofibrosarcoma protuberans with regional lymph node metastases: a case report.
        Head and Neck. 1989; 11: 562-564
        • Hamilton SGL
        • Morrison WA
        The scapular free flap.
        Br J Plast Surg. 1982; 35: 2-7
        • Nassif TM
        • Vidal L
        • Bovet JL
        • Baudet J
        The parascapular flap: a new cutaneous microsurgical free flap.
        Plast Reconstr Surg. 1982; 69: 591-600
        • Taylor GI
        • Palmer JH
        The vascular territories (angiosomes) of the body: experimental study and clinical applications.
        Br J Plast Surg. 1987; 40: 113-141