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Related Experiment Video

Updated: Jun 2, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

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Double-free, flow-through flap reconstruction for complex scalp defects: a case report.

Marie-Claire Haddock1, Terrence Creagh, Vivek Sivarajan

  • 1Department of Surgery, MRC Center for Inflammation and Research, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK. marie-claire.haddock@ed.ac.uk

Microsurgery
|April 19, 2011
PubMed
Summary

This case report details a novel double-free, flow-through flap technique for complex head and neck reconstruction. This innovative approach successfully restored scalp and calvarial defects after cancer surgery.

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Area of Science:

  • Plastic Surgery
  • Oncology
  • Craniofacial Reconstruction

Background:

  • Reconstruction of extensive scalp, forehead, skull, and dural defects following oncological resection presents significant challenges.
  • Current reconstructive methods may not adequately address the composite nature of these defects, requiring innovative solutions.

Observation:

  • A case report detailing the use of a double-free, flow-through flap for reconstruction after extensive squamous cell carcinoma resection.
  • The anterolateral thigh flap served dual purposes: providing soft tissue for the forehead and vascularized fascia lata for dural repair.
  • This flap also acted as a vascular conduit for a latissimus dorsi flap, enabling total scalp reconstruction.

Findings:

  • Successful reconstruction of a large, fungating, squamous cell carcinoma defect involving the scalp, forehead, skull, and dura.

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Last Updated: Jun 2, 2026

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An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
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  • Demonstration of a novel double-free, flow-through flap design combining anterolateral thigh and latissimus dorsi flaps.
  • This technique effectively addressed both soft tissue and bony/dural deficits in a single-stage procedure.

    • Implications:

    • This case highlights a potentially groundbreaking technique for complex craniofacial and scalp reconstruction.
    • The double-free, flow-through flap offers a versatile and effective solution for challenging oncological defects.
    • This approach may expand reconstructive options for surgeons managing extensive head and neck cancers.