Bilateral latissimus dorsi flaps for the reconstruction of extensive scalp defects.
BACKGROUND
The reconstruction of large scalp defects is occasionally required. Several methods of scalp reconstruction have previously been described. This paper presents the authors' experience with two patients in whom traditional methods were not sufficient and in whom bilateral latissimus dorsi free flaps were required.


OBJECTIVE
To evaluate the effectiveness of a new technique in reconstructing extensive scalp defects.


METHODS
Two case histories are presented. These include the rationale for the choice of reconstruction used as well as a discussion on the technical features of the surgery.


RESULTS
Reconstruction was effective in both cases. However, one patient died in the early postoperative period from a pulmonary embolus.


CONCLUSIONS
Bilateral latissimus flaps can be safely and effectively used in closing massive scalp defects in selected cases.
Wharton Head and Neck Program, Princess Margaret Hospital, University Health Network, University of Toronto, Toronto, Ontario.
T
T
Zhong
Pj
P
Gullane
Pc
P
Neligan
Latissimus dorsi; Scalp reconstruction