Composite fronto-orbital reconstruction using a subscapular chimeric flap |
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Authors: | Joseph George Dupin Charles Louis Wise Matthew Whitten St-Hilaire Hugo |
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Affiliation: | Division of Plastic & Reconstructive Surgery, Louisiana State University-New Orleans, Louisiana 70118, USA. |
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Abstract: | Composite defects of the fronto-orbital region represent a reconstructive challenge. Total autogenous reconstruction requires a thin pliable skin flap along with a bony component that can be osteotomized predictably. The thoracodorsal artery perforator/scapular bone chimeric flap provides a reliable single-stage method to cover difficult composite forehead defects where local options are unsuitable or have been exhausted. We present a patient with a traumatic fronto-orbital defect that has been successfully reconstructed using this flap. The report of this case illustrates well the versatility of the subscapular system as a donor site for difficult composite posttraumatic defects where tissue components need to be inset in a complex three-dimensional fashion. |
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