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Double-free, flow-through flap reconstruction for complex scalp defects: A case report

✍ Scribed by Marie-Claire Haddock; Terrence Creagh; Vivek Sivarajan

Publisher: John Wiley and Sons
Year: 2011
Tongue: English
Weight: 250 KB
Volume: 31
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.20874

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✦ Synopsis

Abstract

This case report describes the use of a double‐free, flow‐through flap as a valuable tool in reconstruction following oncological resection of a large, fungating, squamous cell carcinoma extending through the scalp, forehead, skull, and dura. An anterolateral thigh flap was utilized to supply: soft tissue for the forehead reconstruction, vascularized fascia lata for the dural repair, and to act vascular conduit to supply a distally placed latissmus dorsi flap for total scalp reconstruction. We believe this is the first time this combination of double‐free, flow‐through flap design has been published for the reconstruction of complex, composite scalp and calvarial defects. © 2011 Wiley‐Liss, Inc. Microsurgery, 2011.

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