Abstract

RIVAS LEON, B.; NOGUERA RAMOS, R.; ORTIZ LOPEZ, J.B.  and  GOMEZ MENDOZA, F.F.. Prefabricated occipital flap to cover craneal bone exposition. Cir. plást. iberolatinoam. [online]. 2010, vol.36, n.1, pp.87-92. ISSN 1989-2055.

Cranial bone exposition after an aggressive oncological treatment is a challenge for plastic surgeon; defects can range in size and complexity, from small defects which can be covered only with skin graft or local flaps, to extensive defects that will require a free flap cover. We report a case of a 39 years-old man, who presented soft tissue defect of biparietal area following to radiotherapy and carcinoma resection. This defect was covered by prefabricated axial flap, which was harvest of forearm area and implanted under occipital hair skin and subsequently transported to the defect. The axial occipital flap healed uneventfully with a good outcome; we managed to cover the scalp defect completely without complications. As a conclusion, prefabricated occipital flap provides enough hair skin, with axial vascularity pattern to cover cranial bone exposed, when there is not a better cosmetical option.

Keywords : Cranial reconstruction; Prefabricated flap; Axial flap; Free flap.

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