Microsurgical reconstruction of major scalp defects following scalp avulsion
A 35 year old lady presented to us with scalp avulsion injury from thresher machine. Scalp was reconstructed with latissimus dorsi muscle with STSG, but flap necrosed because of venous thrombosis. The patient again planned for surgery and LDSA with skin paddle, a composite free flap was done. This time vein was anastomosed with external jugular vein using vein graft tunneled at the preauricular region. There were no postoperative complication and flap recovery was uneventful [].