ePlasty: Vol. 18
Lateral Breast and Axillary Reconstruction With Pedicled Parascapular Flap
Christina Kapsalis, BS,a Jared Davis, MD,b and Bradon J. Wilhelmi, MDb

aSchool of Medicine, University of Louisville, Louisville, Ky; and bDivision of Plastic and Reconstructive Surgery, Department of Surgery, University of Louisville, Louisville, Ky

Correspondence: cnkaps01@louisville.edu
Keywords: parascapular flap, lateral breast and axillary reconstruction, adjuvant radiotherapy, breast cancer, immediate breast reconstruction

Objective: Immediate flap reconstruction following mastectomy in patients who may require adjuvant radiation therapy can be controversial. However, exposure of vital structure or defects too large for primary closure may necessitate immediate utilization of flaps. In this setting, both functional and cosmetic outcomes must be considered. Methods: We describe a case in which the patient required a wide excision of the axillary skin and a partial mastectomy, with a resulting large axillary and lateral breast skin defect. The ipsilateral pedicled parascapular flap was used for immediate reconstruction, with primary donor site closure. Results: Seven years postoperatively, she remained disease free, contracture free, with near-normal shoulder range of motion .......