광배근 근피판을 통한 두피 재건 및 두개골성형

• 영문명: Scalp Reconstruction and Cranioplasty using the Latissimus Dorsi Musculocutaneous Flap in a Patient with Recurrent Wound Dehiscence Accompanied by MRSA Infection
• 발행기관: 대한두경부종양학회
• 저자명: 윤태근(Taekeun Yoon) 김상화(Sang Wha Kim)
• 간행물 정보: 『대한두경부종양학회지』대한두경부종양학회지 제38권 제1호, 59~63쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2022.05.30

영문 초록

The latissimus dorsi flap has high vascularity and is helpful for the reconstruction of infected areas. Herein, we present a patient with recurrent infections and soft-tissue defects who underwent cranial reconstruction using a free latissimus dorsi flap. The patient had undergone craniectomy and reconstruction using alloplastic bone 18 years previously. A scalp defect accompanied by infection occurred five years ago, and patient underwent reconstruction using a free flap at another hospital; however, the problem persisted. After debridement and bone flap removal, the right latissimus dorsi musculocutaneous flap was elevated, and the thoracodorsal artery and vein were anastomosed end-to-end to the right superficial temporal artery and vein. Methicillin-resistant Staphylococcus aureus was eradicated, and the flap survived. Cranioplasty was performed eight months later, and one year follow-up proceeded without complications. Effective reconstruction and cranioplasty are possible using the free latissimus dorsi musculocutaneous flap, even on scalp with persistent infections and soft-tissue defects.

목차

Introduction

Case report

Discussion

References

키워드

Free tissue flaps Methicillin-resistant staphylococcus aureus Reconstructive surgical procedures Scalp Wound infection