Summary
A combined microvascular flap composed of serratus anterior myo-osseous and a latissimus
dorsi myocutaneous flap has been performed for resurfacing massive scalp and skull
defects, accompanied by chronic infection and heavy radiation damage.
The authors present a case report where the combined procedure allowed a single-stage
reconstruction of this complex defect.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Plastic, Reconstructive & Aesthetic SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
Strauch, Vasconez, Hall-Findlay. Encyclopedia of flaps. In: Head and neck, vol. 1.
- Reconstruction of large cranial defects in the presence of heavy radiation damage and infection utilizing tissue transferred by microvascular anastomoses.Plast Reconstr Surg. 1989; 83: 438-442
- Comparison of the effect of bacterial inoculation in musculocutaneous and random-pattern flap.Plast Reconstr Surg. 1982; 70: 1
- Use of the muscle flap in chronic osteomyelitis: experimental and clinic correlation.Plast Reconstr Surg. 1982; 69: 815
- The effect of microbial contamination on musculocutaneous and random flaps.J Surg Res. 1986; 75: 411
- Free-flap reconstruction of large defects of the scalp and calvarium.Plast Reconstr Surg. 1989; 83: 655-661
- Scalp reconstruction by microvascular free tissue transfer.Ann Plast Surg. 1990; 24: 431-443
- Reconstruction of the scalp defects with free flaps in 30 cases.Br J Plast Surg. 1998; 51: 186-190
- Mandibular reconstruction with segmentally split serratus composite flaps.Clin Plast Surg. 1990; 17: 663-666
- Free composite myo-osseous flap with serratus anterior and rib. Indications in head and neck reconstruction.Clin Plast Surg. 1998; : 106-112
- One stage composite reconstruction using latissimus myoosteocutaneous flap.Am J Surg. 1982; 144: 470-472
- Microsurgical scalp and skull reconstruction using a serratus anterior myo-osseous flap.Ann Plast Surg. 1993; 31
- A subperiosteal approach to harvesting the free serratus anterior and myo-osseous composite flap.Plast Reconstr Surg. 2001; 108: 1303-1304
- Primary reconstruction head and neck cancer with anterior rib, osteomyocutaneous composite flap.Head Neck Surg. 1992; 14: 18
Article info
Publication history
Published online: September 05, 2006
Accepted:
June 6,
2006
Received:
March 2,
2006
Identification
Copyright
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.