Stueber K, Salcman M, Spence R J
Ann Plast Surg. 1985 Aug;15(2):155-60. doi: 10.1097/00000637-198508000-00011.
The patient described in this article had a large skull defect under the scalp which had been irradiated during treatment of a malignant brain tumor. The patient desired reconstruction of her defect. To provide good soft-tissue coverage for the bony reconstruction, a free latissimus dorsi musculocutaneous flap was used. The bony defect was partially reconstructed with split-rib grafts. The two parts of the reconstruction were combined into one operation, since it was felt that the well-vascularized muscle would ensure viability of the bone grafts.
本文所述患者在头皮下有一个巨大的颅骨缺损，该缺损在恶性脑肿瘤治疗期间接受过放射治疗。患者希望修复其缺损。为了为骨重建提供良好的软组织覆盖，采用了游离背阔肌肌皮瓣。骨缺损用劈开肋骨移植片进行了部分重建。由于认为血运丰富的肌肉可确保骨移植片的存活，因此将重建的两个部分合并为一台手术。
