Subscapular Tunneling to Increase the Reach of Latissimus Dorsi Myocutaneous Flap

The latissimus dorsi muscle or myocutaneous flap (LDMF) has long been a mainstay in the plastic surgeon's armamentarium, serving as a versatile and reliable tool for reconstructive procedures. Tunneling the LDMF through the subscapular route increases the reach to cover defects as far as nape of the neck. In this article, we report a case of LDMF routed through a subscapular route to cover impending hardware exposure at the nape region. This article provides a comprehensive review of the subscapular tunneled LDMF technique while discussing its indications, surgical anatomy, operative technique, complications, and outcomes.