Utility of parascapular flaps for regional reconstruction of upper back defects: a case series

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Jemima J Dorairaj
Gareth D Kiernan
Rizwan Sheikh
Richard Zinn


humans, perforator flaps, reconstructive surgical procedures


The latissimus dorsi (LD) flap has classically been described for posterior upper quadrant trunk defects. Perforator flaps have gained popularity among reconstructive surgeons as the predictable anatomy and muscle-sparing nature of parascapular flaps make this an attractive reconstructive option. We describe the versatility of the parascapular flap for reconstruction of defects in the axilla, deltoid, scapula and paraspinal region performed in six patients over a two-year period. The history of the parascapular flap, technique, patient outcomes and technical pearls are also discussed. We recommend this flap be considered a workhorse flap for defects in the posterior upper quadrant.


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1. Zenn MR, Jones GE. Reconstructive surgery: anatomy, technique and clinical applications. St Louis,Missouri: Quality Medical Publishing Inc, 2012.
2. Hallock GG. Reconstruction of posterior trunk defects. Semin Plast Surg. 2011;25(1):78–85. https://doi.org/10.1055/s-0031-1275174 PMid:22294946 PMCid:PMC3140241
3. Mayou BJ, Whitby D, Jones BM. The scapular flap: an anatomical and clinical study. Br J Plast Surg. 1982;35(1):8–13. https://doi.org/10.1016/0007-1226(82)90076-5
4. Ohsaki M, Maruyama Y. Anatomical investigations of the cutaneous branches of the circumflex scapular artery and their communications. Br J Plast Surg. 1993;46(2):160–63. https://doi.org/10.1016/0007-1226(93)90152-2
5. Cormack GC, Lamberty BGH. The arterial anatomy of skin flaps. Edinburgh, Scotland: Churchill Livingstone, 1986.
6. Taylor GI, Palmer JH. The vascular territories (angiosomes) of the body: experimental study and clinical applications. Br J Plast Surg. 1987;40(2):113–41. https://doi.org/10.1016/0007-1226(87)90185-8
7. Roll C, Prantl L, Feser D, Nerlich M, Kinner B. Functional donor-site morbidity following (osteo-) fasciocutaneous parascapular flap transfer. Ann Plast Surg. 2007;59(4):410–14. https://doi.org/10.1097/SAP.0b013e3180317b18 PMid:17901733