{Reference Type}: Journal Article
{Title}: Supine positioning for the subscapular system of flaps: A pictorial essay.
{Author}: Eskander A;Kang SY;Ozer E;Agrawal A;Carrau R;Rocco JW;Teknos TN;Old MO;
{Journal}: Head Neck
{Volume}: 40
{Issue}: 5
{Year}: 05 2018
{Factor}: 3.821
{DOI}: 10.1002/hed.25051
{Abstract}: This pictorial essay demonstrates a modification to the positioning, prepping, and draping technique for the subscapular system of flaps allowing the patient to be placed supine and without the need for a second assistant during the harvest or closure.<BR>We performed a literature review focusing on the positioning of the patient during the harvest of the subscapular system of flaps. A supine modification harvest prepping, draping, and position is then described in pictorial essay format. The technique is made possible with the use of a Mayo stand to position the arm.<BR>A literature review demonstrates limited description of nonlateral decubitus position harvest of the scapular flap. A novel positioning technique is described in pictorial essay format to demonstrate the ease and feasibility without the need for a second assistant during the case, an important goal in the era of limited resident duty hours.