Cranial reconstruction after a post-craniotomy empyema

Chabas, Jean-François; Dellavolpe, C.; Riah, Y.; Bron, T.; Reynier, Y; Kaya, J.-M.; Casanova, D.

doi:10.1016/j.bjps.2008.10.001

Cited by 10 publications

(10 citation statements)

References 24 publications

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“…The serratus has been widely described in the literature for reconstruction of the scalp as a composite flap that can include rib for cranial bone defects and latissimus dorsi for additional coverage. 4,[11][12][13][16][17][18]24,25 Overall, both the serratus and the latissimus dorsi flap exhibit excellent healing with overlaid split-thickness skin grafts.…”

Section: Discussionmentioning

confidence: 99%

“…For scalp reconstruction, the SAFF offers a superior donor site profile compared with the latissimus dorsi muscle flap, and there is less contour asymmetry than with reconstruction of the scalp with the vastus. The serratus has been widely described in the literature for reconstruction of the scalp as a composite flap that can include rib for cranial bone defects and latissimus dorsi for additional coverage . Overall, both the serratus and the latissimus dorsi flap exhibit excellent healing with overlaid split‐thickness skin grafts.…”

Section: Discussionmentioning

confidence: 99%

“…However, the majority of these cases use the latissimus in addition to the serratus muscle flap as a composite flap for large reconstructions. 3,4,[11][12][13][15][16][17][18][19][20] We present a case series of 15 patients in which the SAFF was used for reconstruction in the head and neck. A retrospective review of institutional flap data was performed to identify patients who had undergone SAFF reconstruction at Mount Sinai Department of Otolaryngology-Head and Neck Surgery as well as the Medical University of Vienna, Austria, from 2010 to 2014.…”

Section: Methodsmentioning

confidence: 99%

“…A literature review was performed in the PubMED database using the search terms “serratus free flap,” “serratus skull base,” “serratus scalp,” and “serratus free tissue transfer.” One hundred and seventy‐six articles were identified, of which 22 articles included at least one reconstructive case with a myofascial serratus free flap in the head and neck (Table ). However, the majority of these cases use the latissimus in addition to the serratus muscle flap as a composite flap for large reconstructions . We present a case series of 15 patients in which the SAFF was used for reconstruction in the head and neck.…”

Section: Methodsmentioning

confidence: 99%

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The versatility of the serratus anterior free flap in head and neck reconstruction

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The versatility of the serratus anterior free flap in head and neck reconstruction

et al. 2016

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“…Another option is to use a combined LD and serratus anterior muscle flap to sandwich the implant. 31,32 Immediate cranial reconstruction is especially advantageous for patients with VP shunts since their skin flaps are likely to shrink due to atmospheric pressure, which can contribute to the development of syndrome of the trephined. 26,27 …”

Section: Discussionmentioning

confidence: 99%

Versatility of the Latissimus Dorsi Free Flap during the Treatment of Complex Postcraniotomy Surgical Site Infections

Yoshioka

2017

Plastic and Reconstructive Surgery - Global Open

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Background:Some intractable cases of postcraniotomy infection, which can involve compromised skin, an open frontal air sinus, and residual epidural dead space, have been reported. In such cases, reconstructing the scalp and skull is challenging.Methods:Between 2009 and 2016, the author treated 12 patients with recalcitrant postcraniotomy surgical site infections with latissimus dorsi (LD) free flaps. The patients’ ages ranged from 37 to 79 years (mean, 63.5 years), and their underlying diseases included subarachnoid hemorrhaging (n = 5), brain tumors (n = 4), and cerebral arteriovenous malformations (n = 3).Results:The LD free flap was used for scalp reconstruction in 3 cases, scalp reconstruction and separation of the intracranial and nasal cavities in 5 cases, and the obliteration of epidural dead space in 4 cases. Debridement followed by staged cranial reconstruction was carried out in 8 cases, and single-stage cranial reconstruction was conducted in 2 cases. The bone defects of the other 2 cases, which were small, were filled with LD musculo-adipose free flaps. The postoperative local appearance of the wounds was acceptable in every case, and no complications occurred.Conclusions:The LD free flap is a versatile tool for the treatment of complex postcraniotomy surgical site infections. This vascularized muscle flap is useful for controlling local infections because of its abundant vascularity. Moreover, its variety of uses means that it can resolve several problems in cases involving complex cranial wounds.

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Serratus anterior free flap: A personal series and meta-analysis review

Vico

François

2013

Eur J Plast Surg

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Cranial reconstruction after a post-craniotomy empyema

Cited by 10 publications

References 24 publications

The versatility of the serratus anterior free flap in head and neck reconstruction

The versatility of the serratus anterior free flap in head and neck reconstruction

Versatility of the Latissimus Dorsi Free Flap during the Treatment of Complex Postcraniotomy Surgical Site Infections

Serratus anterior free flap: A personal series and meta-analysis review

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