Salvage of a free flap by cephalic suspension with Tessier's diadem.
The authors present a case of a patient with a large occipital meningioma, treated by embolisation and surgery, in which skin necrosis occurred overlying the craniotomy bone flap. A free Latissimus dorsi flap was used to cover the tissue loss but poor healing and flap condition occurred due to contact with the anti-sore bed system making it impossible to maintain the patient on dorsal position. A cephalic suspension was carried out by Tessier's diadem making it possible to salvage the flap and to treat the patient.
Garmi
Rachid
R
Department of Oral and Maxillofacial Surgery, Medical University of Caen, Caen Cedex, France.
Soubeyrand
Eric
E
Nicolas
Julien
J
Labbe
Daniel
D
Khouri
Sami
S
Compere
Jean-François
JF
Benateau
Hervé
H
D001932:Brain Neoplasms / Q000601:surgery*; D003399:Craniotomy / Q000379:methods; D006801:Humans; D008297:Male; D008579:Meningioma / Q000601:surgery*; D008875:Middle Aged; D009777:Occipital Bone / Q000473:pathology / Q000601:surgery; D056888:Patient Positioning / Q000295:instrumentation*; D012149:Restraint, Physical / Q000295:instrumentation; D013524:Surgical Flaps / Q000473:pathology*; D013529:Surgical Wound Dehiscence / Q000628:therapy; D014945:Wound Healing