title: Single stage reconstruction of scalp and skull using free muscle flap and titanium mesh in patients with epidural infection.
abstract: Simultaneous scalp and skull reconstruction using free muscle flap transfer and titanium mesh was performed in two patients with postoperative intracranial infection. The postoperative course in both patients was uneventful. The transferred flap was the latissimus dorsi muscle flap in one and a combination flap with the latissimus dorsi and serratus anterior muscle in another. The titanium mesh afforded satisfactory contour with only mild foreign-body reaction and could be applied simultaneously with the free muscle flap to the infected cranial wound.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Osaka City University, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Yoshioka
authors.forename: G
authors.initials: G
authors.lastname: Haraoka
authors.forename: M
authors.initials: M
authors.lastname: Muraoka
authors.forename: S
authors.initials: S
authors.lastname: Tominaga
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000601:surgery; D004388:Dura Mater / Q000382:microbiology* / Q000601:surgery; D005549:Foreign-Body Reaction / Q000209:etiology; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000601:surgery; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D012535:Scalp / Q000601:surgery*; D016038:Skin Transplantation; D012886:Skull / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D013526:Surgical Mesh / Q000009:adverse effects; D013530:Surgical Wound Infection / Q000601:surgery*; D014025:Titanium
chemical_list: D014025:Titanium