Arch Craniofac Surg.  2023 Jun;24(3):129-132. 10.7181/acfs.2023.00129.

Reconstruction of a temporal scalp defect without ipsilateral donor vessel possibilities using a local transposition flap and a latissimus dorsi free flap anastomosed to the contralateral side: a case report

• An JK
• Park SO
• Chang LS
• Kim YH
• Min K

• KMID: 2543474
• DOI: http://doi.org/10.7181/acfs.2023.00129

Abstract

Scalp defects necessitate diverse approaches for successful reconstruction, taking into account factors such as defect size, surrounding tissue, and recipient vessel quality. This case report presents a challenging scenario involving a temporal scalp defect where ipsilateral recipient vessels were unavailable. The defect was effectively reconstructed utilizing a transposition flap and a latissimus dorsi free flap, which was anastomosed to the contralateral recipient vessels. Our report underscores the successful reconstruction of a scalp defect in the absence of ipsilateral recipient vessels, emphasizing the importance of employing appropriate surgical interventions without necessitating vessel grafts.

Keyword

Case reports / Free tissue flaps / Latissimus dorsi / Reconstructive surgical procedures / Scalp