Complex Scalp Reconstruction with Super Thin DIEP Free Flap

June 2024 in “ Plastic & Reconstructive Surgery Global Open ”

Jordin Stanneart, John Holtrop, Christopher Smith

scalp reconstruction deep inferior epigastric perforator flap DIEP flap free tissue transfer wound contour soft tissue coverage skin coverage

TLDR A super thin DIEP flap can effectively reconstruct scalp defects with good skin coverage and contour.

The document discusses a case study of a 67-year-old man who underwent scalp reconstruction using a super thin deep inferior epigastric perforator (DIEP) flap after major debridement and skull defect coverage. This technique, typically used in breast reconstruction, was applied to achieve good skin coverage and contour on the scalp. The super thin DIEP flap, dissected above the superficial fascial plane, is highlighted as a newer method in free tissue transfers, offering improved outcomes in wound contour. The authors suggest that this approach can be effectively used for soft tissue and skin coverage in head and neck reconstruction.

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