Reconstruction of a Large Composite Hemicraniofacial Defect with Bipedicled DIEP/TRAM Flaps.

Plast Reconstr Surg Glob Open

From Department of Plastic and Reconstructive Surgery, Westmead Hospital, Westmead, NSW, Australia.

Published: April 2024

Head and neck reconstructions are often challenging due to the mix of functional and aesthetic goals. It can be tricky when different tissue types are required to reconstruct each subunit. Craniofacial reconstructions require a large volume of tissue to cover defects that span across a large convex area. The latissimus dorsi muscle flap is a workhorse free flap used frequently by surgeons due to its ability to cover over a large surface area. However, there are unique situations when even the latissimus dorsi muscle is not enough to provide the bulk cover for the craniofacial defect. We present a complex case of a hemicraniofacial reconstruction after a hemifacial orbital exenteration and cranial resection of a large neglected basal cell carcinoma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11000767PMC
http://dx.doi.org/10.1097/GOX.0000000000005713DOI Listing

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