[Clinical application of scapular flap pedical on lateral descending cutaneous branch of circumflex scapular artery].
OBJECTIVE
To introduce a new design of the scapular flap.


METHODS
The lateral descending cutaneous branch of the circumflex scapular artery was investigated in 10 cadavers with radiography. Based on the results, we used the scapular flap (from 8 cm x 25 cm to 11 cm x 35 cm) pedical on the lateral descending cutaneous branch of the circumflex scapular artery to reconstruct defects of faciocervical region after burning in 7 patients, with direct suture the donate area, or skin grafting.


RESULTS
Sever flaps survived completely, satisfactory results were obtained except 2 patients' flap to need to be thinned during the following up.


CONCLUSIONS
This flap can be designed to extend to the inframamary fold, the donor-site scar of the flap is well hidden. The design of the flap broadens the application of the scapular flap.
Yang
Mingyong
M
Plastic Surgery Hospital, Beijing Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100041, P. R. China.
Li
Yangqun
Y
Li
Senkai
S
D000328:Adult; D001158:Arteries / Q000033:anatomy & histology; D002056:Burns / Q000150:complications / Q000601:surgery*; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000601:surgery; D005151:Facial Injuries / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019838:Neck Injuries / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D012540:Scapula / Q000098:blood supply*; D012867:Skin / Q000098:blood supply; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome