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Related Experiment Video

Updated: Feb 3, 2026

The Superficial Inferior Epigastric Artery Fascia Flap for Nerve Reconstruction in Rabbits
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Reverse Anterolateral Thigh Flap for Complex Scalp Reconstruction.

Jamie A Spitz1, Rachael M Payne1, Marco F Ellis1,2

  • 1Division of Plastic, Reconstructive, and Cosmetic Surgery, University of Illinois Hospital and Health Science System.

The Journal of Craniofacial Surgery
|October 26, 2018
PubMed
Summary
This summary is machine-generated.

A reverse flow anterolateral thigh (ALT) flap offers a solution for complex scalp wounds in patients with multiple prior surgeries. This technique successfully covered exposed cranioplasty mesh without requiring vein grafts.

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Area of Science:

  • Plastic Surgery
  • Head and Neck Reconstruction
  • Microsurgery

Background:

  • Patients with severe traumatic brain injury or intracranial tumors often require multiple craniotomy and cranioplasty procedures.
  • Infection can lead to complex scalp wounds in these patients, limiting local reconstructive options.

Observation:

  • A case study involving a patient with a complex multifocal scalp wound, exposed cranioplasty mesh, and a history of multiple operations was presented.
  • The patient had limited local tissue options for wound coverage due to previous surgeries and infection.

Findings:

  • A reverse flow free anterolateral thigh (ALT) flap was successfully utilized for reconstruction.
  • This flap provided coverage for the extensive scalp defect without the need for additional vein grafts.
  • This represents a novel application of the reverse flow ALT flap in head and neck reconstruction.

Implications:

  • The reverse flow ALT flap may be a viable and effective option for complex scalp defects in patients with extensive surgical histories.
  • This technique could potentially reduce the complexity and morbidity associated with traditional reconstructive methods in challenging head and neck cases.
  • Further research is warranted to explore the broader applicability and long-term outcomes of this reconstructive approach.