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Microsurgical Reconstruction of a Cranial Defect Using a Latissimus Dorsi Flap: A Case Report
Arym P Preza Estrada1, Alexis A Granados Flores2, José L Villarreal-Salgado3
1General Surgery, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) "General Hospital", La Paz, MEX.
Cureus
|August 18, 2025
Summary
Microsurgical reconstruction using a free latissimus dorsi (LD) flap effectively addressed a complex temporal cranial defect. This versatile flap offers a reliable solution for restoring function and aesthetics in challenging cases.
Area of Science:
- Plastic Surgery
- Craniofacial Reconstruction
- Microsurgery
Background:
- Complex cranial defects, especially in the temporal region, present significant reconstructive challenges.
- Functional and aesthetic restoration is critical, complicated by anatomical constraints.
- Previous surgical resections can lead to extensive defects with exposed bone.
Observation:
- A case study involving a 64-year-old female with a large temporal cranial defect post-resection.
- Microsurgical reconstruction utilized a free latissimus dorsi (LD) flap.
- The flap was harvested in lateral decubitus position with a long vascular pedicle and anastomosed to superficial temporal vessels.
Findings:
- The latissimus dorsi (LD) flap provided adequate volume and coverage for the complex defect.
- Successful microvascular anastomosis ensured flap viability and integration.
- The procedure restored cranial contour, addressing both functional and aesthetic deficits.
Implications:
- The free LD flap is a safe and effective option for complex temporal region cranial defect reconstruction.
- Preoperative planning, microsurgical skill, and a multidisciplinary approach are crucial for success.
- Individualized reconstructive strategies tailored to defect characteristics and patient condition yield optimal outcomes.
