Abstract

NORENA ATEHORTUA, Juan Camilo; LEHMANN MOSQUERA, Ana María; BELLO SANTAMARIA, José Antonio  and  ALJURE DIAZ, Manuel Felipe. Massive scalp reconstruction with quimeric muscular latissimus dorsi and anterior serratus free flap. Cir. plást. iberolatinoam. [online]. 2021, vol.47, n.2, pp.201-210.  Epub Aug 02, 2021. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-78922021000200011.

Reconstruction of scalp is complex due to cranial morphological traits.

A 44-year-old patient is referred to Hospital Universitario de La Samaritana (Bogotá, Colombia) with a massive scalp defect affecting 95% of its total surface and total thickness. A chimeric muscular free flap of the latissimus dorsi and anterior serratus is used to cover the defect; posteriorly, a split-thickness skin graft was placed to cover the flap.

The flap adapted to the natural cranial contour without complications; no secondary surgical revision was necessary. Additionally, the skin graft achieved an adequate aesthetic and functional result that allows the use of wigs without other irregularities that could be observed with other reconstructive options.

Keywords : Scalp; Free flap; Quimeric flap; Latissimu dorsi; Serratus anterior.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )