The dorsal thoracic fascia: Anatomic significance with clinical applications in reconstructive microsurgery

Paul S. Kim, Jordan R. Gottlieb, Gerald D. Harris*, Daniel J. Nagle, Victor L. Lewis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

69 Scopus citations

Abstract

The anatomic distribution and potential arterial flow patterns of the circumflex scapular artery were investigated by Microfil injection. These studies demonstrated that the circumflex scapular artery lies within the dorsal thoracic fascia, which plays a significant role in the circulation of the overlying skin and subcutaneous tissue. We conclude that (1) scapular/parascapular flaps are fasciocutaneous flaps, (2) the dorsal thoracic fascia can be transferred as a free flap without its overlying skin and subcutaneous tissue, and (3) intercommunication exists between the myocutaneous perforators of the latis-simus dorsi myocutaneous flap and the vascular plexus of the dorsal thoracic fascia. We present microvascular cases in which the vascular properties of the dorsal thoracic fascia facilitated wound closure with free fascia flaps or expanded cutaneous or myocutaneous flaps.

Original languageEnglish (US)
Pages (from-to)72-80
Number of pages9
JournalPlastic and Reconstructive Surgery
Volume79
Issue number1
DOIs
StatePublished - Jan 1 1987

ASJC Scopus subject areas

  • Surgery

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