ePlasty: Vol. 19
Scapular Free Flap for Soft Tissue Augmentation in Progressive Hemifacial Atrophy
Ali Roham, DO, and Kongkrit Chaiyasate, MD

Division of Plastic and Reconstructive Surgery, Beaumont Health System, Royal Oak, Mich

Correspondence: ali.roham@beaumont.org
Keywords: progressive hemifacial atrophy, Parry-Romberg syndrome, scapular free flap, parascapular free flap, microvascular soft tissue augmentation


A 25-year-old female patient with a history of Parry-Romberg syndrome (PRS) and significant right facial soft tissue deficit presented to the reconstruction clinic for evaluation. She underwent reconstruction with a subscapular system free flap for facial augmentation utilizing a parachuting technique. After 2 revisions, she had excellent cosmetic outcome.


1. What is the etiopathology of Parry-Romberg disease?

2. Which is the typical population affected by the disease?

3. What are the treatment options?

4. What is the anatomy of scapular free flap?


Progressive hemifacial atrophy (PHA), also known as Parry-Romberg syndrome, was described as early as 1825 by Dr Caleb Parry.1 It is an infrequently encountered disease characterized by unilateral progressive skin, soft tissue, and muscle atrophy. This disease may involv .......