二次頭蓋形成術後の広範な壊死に対する広背筋皮弁による再建

Julian Ramin Andresen¹, Wolfgang Happak², Magnus Kuess³

¹Division of Trauma Surgery, Department of Orthopaedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.

|January 12, 2026

Abstract:

Secondary cranioplasty aims to restore skull integrity after decompressive surgery but can be complicated by rare issues such as skin necrosis. We report a case of a 70-year-old female with multiple comorbidities who developed extensive scalp necrosis following cranioplasty. Surgical revision revealed significant dural exposure, requiring reconstruction with a free latissimus dorsi flap and a split-thickness skin grafting. Microvascular anastomosis was performed using the superficial temporal vessels. At 8-week follow-up, the site was fully healed without infection or recurrent necrosis. This case underscores the effectiveness of the latissimus dorsi free flap in managing large cranial defects, especially in patients with complex vascular conditions.

キーワード:

頭蓋形成術頭部外傷広背筋皮弁頭皮欠損

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