case_images: PMC10769502_01
case_images: Surgical procedure. a, b Design of the affected area to be resected. c Design of the propeller flap (green line) with location of the perforator vessels (red x) over the lateral border of the scapula (black line). d Affected area is resected, showing the defect to be covered and the perforator vessels. e Parascapular flap elevated on two perforator vessels. f Parascapular flap rotated to the anterior area. g Final reconstruction with the parascapular flap in its definitive location, properly vascularized. h Reconstruction after removal of the surgical stitches (2 weeks postoperatively).
case_images: cde-2024-0016-0001-533387_F02.jpg
case_images: PMC10769502_01_cde-2024-0016-0001-533387_F02.jpg
case_images: F2
case_images: The procedure was carried out as previously described, with particular care taken to avoid torsion and compression of the pedicle (Fig. 2).
case_images: Clinical result at the end of follow-up. a Anterior view, 80  abduction. b Right axilla 90  abduction and external rotation. c Left axilla 90  abduction and external rotation. d Left axilla, closer inspection, 130  abduction. e Right axilla, closer inspection, 120  abduction.
case_images: cde-2024-0016-0001-533387_F03.jpg
case_images: PMC10769502_01_cde-2024-0016-0001-533387_F03.jpg
case_images: F3
case_images: At 18 months post-surgery, the patient reported high satisfaction, and no recurrence was observed (Fig. 3).