Reconstruction of traumatic composite skull defect by free serratus anterior muscle and rib flaps |
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| Authors: | Kuo‐Chun Liao Che‐Chuan Wang Chun‐Chia Chen |
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| Affiliation: | 1. Division of Plastic and Reconstructive Surgery;2. Division of Neurosurgery, Chi‐Mei Medical Center;3. Department of Cosmetic Science and Institute of Cosmetic Science, Chia Nan University of Pharmacy and Science, Tainan, Taiwan |
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| Abstract: | The management of traumatic craniofacial defects, especially that involving the skull base with a dura defect and cerebrospinal fluid (CSF) rhinorrhoea, remains a challenge. The main goal of surgery is to obliterate the abnormal communication as a result of bony and soft tissue defects. We present a patient with significant skull defects and CSF rhinorrhoea from traumatic head injuries. The free serratus anterior muscle and rib flap with an arteriovenous loop was successful and provided a solution to complex 3‐D defects requiring both soft‐tissue coverage and a vascularized bone graft. On 13‐month follow up, an adequate coverage and an anatomical contour restoration were shown. |
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