The free medial scapular osteofasciocutaneous flap for head and neck reconstruction

A modification of the scapular free flap has been developed using the medial ridge of the scapula. This variation preserves the advantages of the previously described lateral scapular flap, providing abundant hairless skin and soft tissue, adequate bone for mandibular reconstruction, and a primarily closed asymptomatic and inconspicuous donor site. It adds the advantage of a longer vascular pedicle and enhanced versatility because it is …