title: Scalp Reconstruction With Free Latissimus Dorsi Flap in a Patient With Giant Cutis Verticis Gyrata.
abstract: BACKGROUND
  Cutis verticis gyrata is a rare skin disorder characterized by formation of thick skin folds and grooves. Because of the risk of malignant transformation, these lesions must be surgically excised. In this study, the authors aimed to present a successful reconstruction of scalp with free latissimus dorsi musculocutaneous flap after total excision of giant cerebriform intradermal nevus that causes cutis verticis gyrata.
  
  
  METHODS
  An 18-year-old male patient attended to our clinic with a large tumor that covers almost 80% of his scalp. Lesion is diagnosed as cerebriform intradermal nevus. Excision of the tumor and scalp reconstruction with free latissimus dorsi musculocutaneous flap is planned and the patient is operated.
  
  
  CONCLUSIONS
  Free tissue transfer is one of the best choices for full thickness defects that covers 80% of scalp with its excellent reconstructive and aesthetical results. Reconstruction with free flaps reduces the number of operations necessary to cover the defect unlike serial tissue expansion or staged excision methods. Free flaps are also a good alternative when the patient has not enough hair-bearing tissue to expand. Low donor site morbidity also makes free latissimus dorsi musculocutaneous flaps excellent choice.
  
  
  CONCLUSIONS
  Cerebriform intradermal nevus is one of the most common causes of cutis verticis gyrata and has an importance due to the current risk of malign transformation. Latissimus dorsi musculocutaneous free flap is a reliable and aesthetically acceptable reconstruction option in the patients of giant cutis verticis gyrata due to sufficient pedicle length, reliable vascularized tissue volume, and large surface area.
authors.affiliation: Plastic, Reconstructive and Aesthetic Surgery Clinic, Okmeydani Training and Research Hospital, Istanbul, Turkey.
authors.forename: Ozay Ozkaya
authors.initials: OO
authors.lastname: Mutlu
authors.forename: Ozlem
authors.initials: O
authors.lastname: Colak
authors.forename: Mert
authors.initials: M
authors.lastname: Canli
authors.forename: Ayberk
authors.initials: A
authors.lastname: Akcay
mesh_terms: D000293:Adolescent; D001706:Biopsy; D058752:Free Tissue Flaps; D006801:Humans; D008297:Male; D009508:Nevus, Pigmented / Q000175:diagnosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012535:Scalp / Q000601:surgery*; D012878:Skin Neoplasms / Q000175:diagnosis / Q000601:surgery*; D064171:Superficial Back Muscles / Q000637:transplantation*; D015626:Tissue Expansion / Q000379:methods*