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KMID : 0358819910180010095
Journal of Korean Society of Plastic and Reconstructive Surgeons
1991 Volume.18 No. 1 p.95 ~ p.100
RECONSTRUCTION OF EXTENSIVE SCALP DEFECT USING FREE LATISSIMUS DORSI MUSCLE FLAP



Abstract
A number of methods are available for scalp reconstruction : skin graft, local flap, distant pedicle flap and free flap. Each of these has well defined roles, advantages and limitations according to nature and extent of the defect. Free flap, especially latissimus dorsi muscle flap is preferred for reconstruction of extensive scalp defect because it is the largest single muscle available for free transfer as well as it has constant anatomy and long large size of vessels which greately simplify the technical aspects of microsurgery. Furthermore, it can control infection and also the donor site morbidity is minimal.
We have been experienced 2 cases of reconstruction of extensive scalp defect using free latissimus dorsi muscle flap with skin graft. A robust coverage was provided without notable complications.
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