title: Double-free, flow-through flap reconstruction for complex scalp defects: a case report.
abstract: This case report describes the use of a double-free, flow-through flap as a valuable tool in reconstruction following oncological resection of a large, fungating, squamous cell carcinoma extending through the scalp, forehead, skull, and dura. An anterolateral thigh flap was utilized to supply: soft tissue for the forehead reconstruction, vascularized fascia lata for the dural repair, and to act vascular conduit to supply a distally placed latissmus dorsi flap for total scalp reconstruction. We believe this is the first time this combination of double-free, flow-through flap design has been published for the reconstruction of complex, composite scalp and calvarial defects.
authors.affiliation: Department of Surgery, MRC Center for Inflammation and Research, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK. marie-claire.haddock@ed.ac.uk
authors.forename: Marie-Claire
authors.initials: MC
authors.lastname: Haddock
authors.forename: Terrence
authors.initials: T
authors.lastname: Creagh
authors.forename: Vivek
authors.initials: V
authors.lastname: Sivarajan
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006257:Head; D006801:Humans; D008297:Male; D012535:Scalp / Q000601:surgery*; D012878:Skin Neoplasms; D012983:Soft Tissue Neoplasms / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery*