Bilateral latissimus dorsi flaps for the reconstruction of extensive scalp defects

Zhong, Toni; Pj, Gullane; Neligan, PC

doi:10.1177/229255030301100201

“…Zhong et al, 7 in their experience with bilateral latissimus dorsi free muscle flaps, noted that the muscle appeared to "atrophies (sic) quickly, producing a thin yet durable cover in the long term." Zhong et al, 7 in their experience with bilateral latissimus dorsi free muscle flaps, noted that the muscle appeared to "atrophies (sic) quickly, producing a thin yet durable cover in the long term."…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] Selection of the best free flap must satisfy numerous prerequisites (Table 1). 2,[5][6][7][8] However, others have promoted composite flaps where the cutaneous component negates the need for a skin graft, which is more esthetically pleasing; and, of course, no functioning muscle need be sacrificed. This actually has been accomplished, but only between identical twins, which indeed would be a most unusual situation.…”

mentioning

confidence: 99%

Open Discussion

2004

Annals of Plastic Surgery

0

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Long-term follow-up of free flaps used for skull coverage in this experience has revealed that serious sequela are more likely after muscle-only free flaps. Over the past 2 decades, 8 muscle and 6 composite free flaps have been used in 12 patients. Debulking was the only secondary procedure necessary in 1 composite flap. However, implant extrusion through 1 muscle flap and chronic ulcerations after minor trauma in 2 other muscle flaps could be directly attributed to the thinness of these flaps. Whether these problems were a consequence of inevitable muscle atrophy or improper selection of too thin a muscle flap from the outset is unknown. Thus, it must be suggested that either a composite flap or a known thick muscle should be chosen initially if a permanent trouble-free outcome is to be expected.

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Scalp reconstruction with free flaps using the external carotid artery and internal jugular vein as the recipient vessels without the need for interpositional vein grafts or arterio-venous loops

Hashem

¹

,

Al‐Qattan

²

2005

British Journal of Plastic Surgery

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Long-Term Superiority of Composite Versus Muscle-Only Free Flaps for Skull Coverage

Hallock¹

2004

Annals of Plastic Surgery

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Long-term follow-up of free flaps used for skull coverage in this experience has revealed that serious sequela are more likely after muscle-only free flaps. Over the past 2 decades, 8 muscle and 6 composite free flaps have been used in 12 patients. Debulking was the only secondary procedure necessary in 1 composite flap. However, implant extrusion through 1 muscle flap and chronic ulcerations after minor trauma in 2 other muscle flaps could be directly attributed to the thinness of these flaps. Whether these problems were a consequence of inevitable muscle atrophy or improper selection of too thin a muscle flap from the outset is unknown. Thus, it must be suggested that either a composite flap or a known thick muscle should be chosen initially if a permanent trouble-free outcome is to be expected.

show abstract

Bilateral latissimus dorsi flaps for the reconstruction of extensive scalp defects

Abstract: Bilateral latissimus flaps can be safely and effectively used in closing massive scalp defects in selected cases.

Cited by 6 publications

References 14 publications

Open Discussion

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Scalp reconstruction with free flaps using the external carotid artery and internal jugular vein as the recipient vessels without the need for interpositional vein grafts or arterio-venous loops

Long-Term Superiority of Composite Versus Muscle-Only Free Flaps for Skull Coverage

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