Bilateral, Bipedicled DIEP Flap for Staged Reconstruction of Cranial Deformity

Craniomaxillofacial Trauma and Reconstruction

Michael Sosin¹  Branko Bojovic¹  Eduardo D. Rodriguez¹  Julia C. Slater¹ 

[1] Department of Surgery, Division of Plastic, Reconstructive and Maxillofacial Surgery, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, University of Maryland School of Medicine, Baltimore, Maryland

关键词: DIEP flap;    cranioplasty;    methyl methacrylate;    PEEK;   

DOI  :  10.1055/s-0034-1384741

学科分类：口腔科学

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

The deep inferior epigastric perforator (DIEP) adipocutaneous flap is a versatile flap that has been most popularly used in breast reconstruction. However, it has been applied to many other anatomic areas and circumstances that require free-tissue transfer. We present a case report of the use of the DIEP flap for the reconstruction of severe craniomaxillofacial deformity complicated by indolent infection in a gentleman with infected hardware and methyl methacrylate overlay used in previous repair of traumatic injuries suffered from a motor vehicle collision. The reconstruction was done in a staged, two-step fashion that allowed for adequate infection eradication and treatment using a bilateral, bipedicled DIEP flap for tissue coverage and intravenous antibiotics before the delayed insertion of a polyetheretherketone cranioplasty for reconstruction of the cranial defect.

【 授权许可】

Unknown