Scapular Free-Flap Dissection Made Easier

Supine positioning for the subscapular system of flaps: A pictorial essay

“…Since the first clinical description of the subscapular system of flaps in 1982, its use has increased in popularity, particularly in the management of patients with head and neck defects. The increasing popularity is in large part due to the fact that maxillomandibular reconstruction frequently requires more soft tissue and bone than the fibula donor site can offer.…”

Mandibular reconstruction in children

“…The surgical technique and indications for scapular and fibular flaps have been widely discussed in the literature [1][2][3][4][5][6][7][8][9][10] For the fibula, we used the lateral approach. For the scapula, a surgical microscope was used to dissect the pedicle, since the vessels are very small, with numerous branches, and there is a high risk of injury.…”

Review of the free scapular flap: a versatile flap for most osteocutaneous tissue defects

“…Dos Santos also noted in this paper that Salmon's previous report in 1933 did not specify any cutaneous branch for the scapular area, and added that the first successful surgical application of the microsurgical scapular flap was performed in Paris in October 1979 [33]. In 1985, Gahhos proposed using a 5 cm incision in the mid axilla to facilitate the rapid and safe dissection of the flap but this method did not gain popularity [16].…”