The vascularized cutaneous scapular flap

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Urbaniak JR. Koman LA. Goldner RD. Armstrong NB. Nunley JA. Plastic & Reconstructive Surgery. [JC:p9s] 69(5):772-8, 1982 May. Five cases of cutaneous free tissue transfer using the cutaneous and circumflex scapular vessels are presented. The free scapular flap is an excellent choice when intermediate-sized (6 to 10 by 10 to 16 cm) uninnervated flap coverage is necessary and cannot be achieved by conventional methods. The flap is exposed easily and has a constant artery and venous system, 2- to 3-mm-diameter vessels, and a 4- to 6-cm vascular pedicle. The shoulder donor site can be closed primarily. Like all shoulder wounds, it has a tendency to spread, but not functional deficit exists at the shoulder or on the posterior chest wall.