Serratus anterior transposition muscle flaps for bronchial coverage: technique and functional outcomes.

Because of its consistent anatomy, long vascular pedicle, malleability, low complication rate, and low donor site morbidity, we prefer serratus anterior transposition muscle flaps for prophylactic coverage of irradiated bronchi and treatment of bronchopleural fistulas. Our surgical technique is described, and our outcomes are discussed. Serratus anterior transposition muscle flaps can be performed with minimal morbidity and minimal impairment of upper extremity function.