Fronto-parietal Osteomyelitis managed by Bipedicled Bucket Handle scalp flap

Abstract

Osteomyelitis of skull is rare clinical entity in today’s world. Mortality from complications from skull osteomyelitis is 20-40 %. We report a 60-year-old patient presented with fronto-parietal osteomyelitis with orbital extension, with known cardiac and pulmonary disease. Large bipedicled bucket handle flap was used for soft tissue reconstruction. Though free flap reconstruction is ideal for large scalp defect, it requires technical expertise and patient’s fitness for surgery. Bipedicled bucket handle flap can be successfully used for large scalp defect reconstruction in patients in which free flap reconstruction is not possible.

Bipedicle Frontal-Occipital Flap for Reconstruction of Post Avulsion Injury of Scalp Temporoparietal Region: A Case Report

“…Moreover, it is based on the axial pattern of blood supply from the main branches of the scalp and their perforators 7 . There have been few cases where Bipedicle flap has been reported for use in post oncological defects 8 , post-electric burn scalp defect 2 post-osteomyelitis scalp defect 9 , etc.…”