Reconstruction of a scalp and skull defect with free latissimus dorsi myocutaneous flap following dermatofibrosarcoma protuberans.
نویسندگان
چکیده
A 53-year-old male underwent more than 10 surgical treatments over 14 years, including a simple excision and local flap transfer, after recurrences of dermatofibrosarcoma protuberans of the head. Clinical results indicated that simple excision of dermatofibrosarcoma protuberans should not be performed as initial treatment. Instead, free flap transplantation, which permits a wide excision and complete reconstruction, should be the first treatment option.
منابع مشابه
Reverse bilateral latissimus dorsi flap reconstruction after extensive mid back dermatofibrosarcoma protuberans excision: a case report
Surgical resection of soft tissue sarcoma of the trunk can result in large defects requiring complex reconstruction for coverage of vital neurovascular structures and tissue defect. Large defects of the back could be reconstructed with multiple random pattern or local pedicled flaps. We present the case of a 48-year-old patient with a locally advanced dermatofibrosarcoma protuberans of the back...
متن کاملReconstruction of Chronic Complicated Scalp and Dural Defects Using Acellular Human Dermis and Latissimus Dorsi Myocutaneous Free flap
We present reconstruction of a complicated scalp-dura defect using acellular human dermis and latissimus dorsi myocutaneous free flap. A 62-year-old female had previously undergone decompressive craniectomy for intracranial hemorrhage. The cranial bone flap was cryopreserved and restored to the original location subsequently, but necessitated removal for a methicillin-resistant Staphylococcal i...
متن کاملExtended V-Y Advancement Flap Reconstruction of a Large Posterior Upper Midline Trunk Defect
Large posterior upper trunk defects can be challenging to reconstruct. Trapezius or latissimus dorsi myocutaneous flaps are principally utilized for reconstruction; however, some defects may not be amenable to this standard approach. Here, we describe a patient with a full-thickness skin and subcutaneous tissue loss of the upper back and inferior cervical region after dermatofibrosarcoma protub...
متن کاملFree flap reconstruction for complex scalp and forehead defects with associated full-thickness calvarial bone resections.
Extensive defects of the scalp and forehead associated with calvarial bone resections demand complex reconstructions. Free flaps offer vascularized tissue of excellent quality and quantity. We report six patients with extensive scalp and forehead defects associated with calvarial bone resections reconstructed with free flaps. Five patients also required a cranioplasty. The flaps used were two a...
متن کاملScalp Reconstruction With Free Latissimus Dorsi Muscle
DESCRIPTION A 61-year-old man presents with invasive basal cell carcinoma of the scalp. Composite resection results in a 280-cm 2 scalp defect of the outer and inner table. Titanium mesh was used to reconstruct the calvarial defect, while reconstruction of the scalp wound was accomplished with a free latissimus dorsi (LD) flap plus split-thickness skin graft.
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ورودعنوان ژورنال:
- Journal of orthopaedic surgery
دوره 10 2 شماره
صفحات -
تاریخ انتشار 2002