The parascapular flap: a new cutaneous microsurgical free flap.

We present the anatomic study and the clinical free transfer of a new donor site. This new flap is called the parascapular flap. It is under the dependence of a direct cutaneous artery that is a vertical terminal branch of the circumflex scapular artery, itself a branch of the subscapular artery. The flap is outlined along the free lateral border of the scapula, and it provides large surface coverage with easy primary closure of the donor site. The surface can even be extended by association of the flap with the latissimus dorsi muscle flap. With this flap, both skin and muscle areas are under the dependence of a single pedicle that is the subscapular artery.