Fig. 2.

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).