THE INITIAL OUTCOME OF TREATMENT OF EXTENSIVE SKIN LOSS EXTREMITIES AFTER TRAUMA WITH A FREE PARASCAPULAR FLAP
Main Article Content
Abstract
Objective:Evaluating the initial outcomeof treatment of extensiveskinlossextremitiesaftertraumawithafreeparascapularflap.
Subjects and methods: This is a case series, prospective study. There were 5 patients during the period from March, 2025 to January, 2026 at the Faculty of Microsurgery and Reconstructive Surgery, Hospital for Traumatology and Orthopaedics at Ho Chi Minh city.
Results: All flaps are alive and the donor site were directly closed. The average follow-up period was 6 months. The flap is of moderate thickness, which can be used to cover many areas of the hands and feet: 1 case on the back of the hand, 1 case on the sole of the foot, 3 cases on the back of the foot. The average size of the flap is 197 cm2, of which the largest flap is 21 × 11 cm.
Conclusion: The use of a free parascapular flap to cover the soft tissue of the extremities is reliable. The flap has a constant blood supply, which can be raised with a large size and has moderate thickness. The position for the donor site can be closed primarily, the scar is aesthetic and does not limit movement.
Article Details
Keywords
Scapular flap, parascapular flap, circumflex scapular artery perforator flap, free flaps.
References
[1] Saijo M. The vascular territories of the dorsal trunk: a reappraisal for potential flap donor sites. British Journal of Plastic Surgery, 1978, 31 (3): 200-204. doi: 10.1016/s0007-1226(78)90082-6
[2] Watson S.B. Scapular flaps, parascapular flaps, circumflex scapular artery perforator flaps, and scapular osteocutaneous flaps. Flaps - Practical Reconstructive Surgery, 2017, 1: 427-433. doi: 10.1055/b-0037-142113
[3] Angrigiani C, Pefaure J, MackFarlane M. Scapular and parascapular flaps. In book: Flaps and Reconstructive Surgery, 1995, p. 215-218. doi: 10.1016/B978-0-7216-0519-7.00022-8
[4] Mai Trọng Tường. Khảo sát giải phẫu cuống mạch đầu xa đảo da cân thần kinh hiển ngoài, áp dụng và các cải tiến lâm sàng. Luận án tiến sĩ y học, Đại học Y Dược thành phố Hồ Chí Minh, 2011.
[5] Đoàn Trung Hiếu. Ứng dụng vạt 2 thùy nhánh xuyên động mạch mũ vai điều trị phẫu thuật sẹo co kéo vùng nách di chứng bỏng. Tạp chí Y học Thảm họa và Bỏng, 2022, số 4: 7-14. doi: 10.54804/yhthvb.4.2022.155
[6] Dabernig J et al. The thin circumflex scapular artery perforator flaps. Journal of Plastic, Reconstructive and Aesthetic Surgery, 2007, 60 (10): 1082-1096. doi: 10.1016/j.bjps.2006.10.002
[7] Mitsimponas K.T et al. The free scapular/parascapular flap as a reliable method of reconstruction in the head and neck region: a retrospective analysis of 130 reconstructions performed over a period of 5 years in a single department. Journal of Cranio-Maxillo-Facial Surgery, 2014, 42 (5): 536-43. doi: 10.1016/j.jcms.2013.07.023
[8] Swartz W.M. The osteocutaneous scapular flap for mandibular and maxillary reconstruction. The annual meeting of the American Association of Plastic Surgeons, 1985, 77 (4): 530-545. doi: 10.1097/00006534-198604000-00003