title: Composite fronto-orbital reconstruction using a subscapular chimeric flap.
abstract: Composite defects of the fronto-orbital region represent a reconstructive challenge. Total autogenous reconstruction requires a thin pliable skin flap along with a bony component that can be osteotomized predictably. The thoracodorsal artery perforator/scapular bone chimeric flap provides a reliable single-stage method to cover difficult composite forehead defects where local options are unsuitable or have been exhausted. We present a patient with a traumatic fronto-orbital defect that has been successfully reconstructed using this flap. The report of this case illustrates well the versatility of the subscapular system as a donor site for difficult composite posttraumatic defects where tissue components need to be inset in a complex three-dimensional fashion.
authors: Division of Plastic & Reconstructive Surgery, Louisiana State University-New Orleans, Louisiana 70118, USA.
authors: George
authors: G
authors: Joseph
authors: Charles Louis
authors: CL
authors: Dupin
authors: Matthew Whitten
authors: MW
authors: Wise
authors: Hugo
authors: H
authors: St-Hilaire
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D005260:Female; D005546:Forehead / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*