대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제38권1호
  • /
  • Pages.59-63
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  • 2022
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
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광배근 근피판을 통한 두피 재건 및 두개골성형

Scalp Reconstruction and Cranioplasty using the Latissimus Dorsi Musculocutaneous Flap in a Patient with Recurrent Wound Dehiscence Accompanied by MRSA Infection

  • 윤태근 (서울대학교 의과대학 성형외과학 교실) ;
  • 김상화 (서울대학교 의과대학 성형외과학 교실)
  • Yoon, Taekeun (Department of Plastaic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Kim, Sang Wha (Department of Plastaic and Reconstructive Surgery, Seoul National University College of Medicine)
  • 투고 : 2021.08.19
  • 심사 : 2021.12.14
  • 발행 : 2022.05.30
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초록

The latissimus dorsi flap has high vascularity and is helpful for the reconstruction of infected areas. Herein, we present a patient with recurrent infections and soft-tissue defects who underwent cranial reconstruction using a free latissimus dorsi flap. The patient had undergone craniectomy and reconstruction using alloplastic bone 18 years previously. A scalp defect accompanied by infection occurred five years ago, and patient underwent reconstruction using a free flap at another hospital; however, the problem persisted. After debridement and bone flap removal, the right latissimus dorsi musculocutaneous flap was elevated, and the thoracodorsal artery and vein were anastomosed end-to-end to the right superficial temporal artery and vein. Methicillin-resistant Staphylococcus aureus was eradicated, and the flap survived. Cranioplasty was performed eight months later, and one year follow-up proceeded without complications. Effective reconstruction and cranioplasty are possible using the free latissimus dorsi musculocutaneous flap, even on scalp with persistent infections and soft-tissue defects.

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참고문헌

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