The circumflex scapular flap for reconstruction of mandibulofacial atrophy.

Dissection of the circumflex scapular vessels permits the use of a cutaneous flap of moderate thickness and broad extension because of the plexal arrangement of the two basic arterial components, the cutaneous scapular and the inferior scapular arteries. This flap may be considered as the treatment of choice in reconstructive surgery for facial atrophy of diverse etiology. The anatomic fundamentals and surgical technique for use of this flap are described.