Abstract

GONZALEZ-BALLESTER, David et al. Suitability of the anterolateral thigh free flap for reconstruction of large craniofacial defects. Rev Esp Cirug Oral y Maxilofac [online]. 2014, vol.36, n.3, pp.119-123. ISSN 2173-9161.  https://dx.doi.org/10.1016/j.maxilo.2012.07.002.

Reconstruction of large defects in the skull and scalp are a challenge for reconstructive surgeon. Several factors can influence the selection of a particular surgical method: anatomy of the defect, patient-dependent factors, surgeon preferences, etc. In unfavorable conditions such as large defects, presence of infection or previous surgery, microvascularized free flaps are considered superior to other reconstructive techniques in the recovery of craniofacial integrity. We present a male of 57 years with a major cosmetic defect on the forehead and active chronic infection of over 20 years onset reconstructed with a microvascular dual free flaps of the antero-lateral thigh, solving the infectious process with the use of healthy vascularized tissue, and the aesthetic defect by adding volume, achieving an excellent result.

Keywords : Reconstruction; Antero-lateral thigh flap; Forehead defect; microvascular free flap.

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