par Van Thienen, Carlos C.E.;Deraemaecker, Rika 
Référence European journal of plastic surgery, 11, 4, page (156-161)
Publication Publié, 1988-11
Référence European journal of plastic surgery, 11, 4, page (156-161)
Publication Publié, 1988-11
Article révisé par les pairs
| Résumé : | Dye and contrast studies of 32 scapular regions have demonstrated a reliable blood supply of the scapula based on a terminal branch of the serratus anterior artery. This artery, called the "angular branch" in our paper, provides the vascular supply of a new osteomuscular flap. The anatomical study also illustrated the relationship between this angular branch and the circumflex scapular and dorsal scapular arteries. The features of this flap are as follows: 1) a constant and long pedicle based on the subscapular-thoracodorsal axis; 2) the possibility of a bony shape similar to the anterior part of the mandible and the hard palate, the maximum length being 22 to 26 cm; 3) the malleable muscular component, suitable for cover of adjacent defects alone or in combination with other regional flaps. The use of the flap for partial reconstruction of the hard palate is described. © 1988 Springer-Verlag. |
