Scapular Osseous Free Flap

Abstract

The scapula flap is a workhorse flap for midface reconstruction. The flap is based on a robust and versatile vascular system which readily allows for the creation of chimeric flaps that include bone, muscle, skin, fat, and fascia. The soft tissue elements of a chimeric scapula flap can be more aggressively thinned, making it an ideal option for augmentation of facial atrophy or contour depressions. The scapula bone is thin and wide near the angle and thick and hearty along its lateral border near the glenohumeral joint, which allows the bone flap to be used for a myriad of bony defects.