Composite skull and dura defect reconstruction using combined latissimus dorsi musculocutaneous and serratus anterior muscle-rib free flap coupled with vascularized galea transfer: A case report
✍ Scribed by Jing-Wei Lee; Yuan-Yu Hsueh; Jung-Shun Lee
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 217 KB
- Volume
- 30
- Category
- Article
- ISSN
- 0738-1085
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✦ Synopsis
Abstract
Recalcitrant epidural abscess following cranioplasty is a complicated problem, which becomes even more trying when large span of dura and skull bone are being replaced by alloplastic materials. A 22‐year‐old male underwent right fronto‐temporo‐parietal craniectomy and duroplasty with artificial dura graft after traumatic brain injury. Epidural abscesses recurred after cranioplasty with autologous bone graft as well as with a methyl methacrylate bone plate. The massive defects of both the dura and skull bone (15 × 9 cm) caused by radical debridement were reconstructed successfully with a combined free latissimus dorsi and serratus anterior myo‐osseous flap transfer plus galea flap transposition. Proper contour and adequate stability of the construct were maintained during 2‐year follow up without episodes of relapsing infection. © 2010 Wiley‐Liss, Inc. Microsurgery, 2010.