991 Free Lattissimus Dorsi Flap for Large Scalp Defects Reconstruction: Case Report and Surgical Technique
Lucia Cano Pérez, Luis Tamez Pedroza

TL;DR
A 30-year-old man with a severe scalp burn was successfully treated using a free latissimus dorsi flap, preserving muscle function and aesthetics.
Contribution
A surgical technique for scalp reconstruction using a function-preserving split latissimus dorsi flap is presented.
Findings
The patient showed no flap necrosis 7 days post-surgery and had good recovery over six months.
The technique preserved the posterior axillary fold and improved back symmetry and contour.
The flap provided full coverage of the calvarium with hair-bearing skin, meeting reconstructive goals.
Abstract
The free latissimus dorsi flap for scalp or skull reconstruction, is a versatile solution for a wide range of reconstructive challenges. The latissimus dorsi muscle is a large, triangular back muscle with fibers form de 7th to the 12th thoracic vertebrae, its blood supply is delivered from the subscapular artery branch called the thoracodorsal artery. In this case the function of the remaining latissimus dorsi muscle is preserved. The posterior axillary fold is also preserved through the remaining cephalic portion of the muscle, resulting in an improved aesthetic outcome postoperatively. Preserving the posterior part of the latissimus dorsi and its innervation also improves symmetry and the contour of the back, avoiding the asymmetric back. We present a 30-year-old male patient with 5% electrical burn of the skull with temporal, parietal and right occipital involvement, with third…
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Taxonomy
TopicsReconstructive Surgery and Microvascular Techniques · Reconstructive Facial Surgery Techniques
