The anatomical vascular basis of the axillary fascio-cutaneous pedicled flap.

The reliability of the axillary fascio-cutaneous flap recently described in this Journal was attributed to the presence of vessels in a fascial plexus. This paper describes the findings in anatomical studies of the vasculature in this region and highlights an important directional component in the fascial plexus at this site. Comparisons are made with other regions of the posterior trunk and the implications for pedicled fascio-cutaneous flaps elsewhere are discussed.