Management of chronic osteomyelitis of the skull using vascularized omental transfer

A case of chronic osteomyelitis of the skull with a large scalp and bony defect is presented. Following radical debridement, a vascularized flap of omentum was used for coverage, in conjunction with antibiotics administered intravenously. Some basic considerations in the management of osteomyelitis are discussed, as are the advantages of omentum as a material for scalp replacement.