title: Salvage of a free flap by cephalic suspension with Tessier's diadem.
abstract: 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.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Medical University of Caen, Caen Cedex, France.
authors.forename: Rachid
authors.initials: R
authors.lastname: Garmi
authors.forename: Eric
authors.initials: E
authors.lastname: Soubeyrand
authors.forename: Julien
authors.initials: J
authors.lastname: Nicolas
authors.forename: Daniel
authors.initials: D
authors.lastname: Labbe
authors.forename: Sami
authors.initials: S
authors.lastname: Khouri
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Compere
authors.forename: Hervé
authors.initials: H
authors.lastname: Benateau
mesh_terms: 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