Microsurgical reconstruction of major scalp defects following scalp avulsion
A 32 year old lady presented with total scalp loss with bare skull bone. The patient also had fractured right forearm bones and mild pleural effusion right side. After management of associated trauma, patient was taken for scalp reconstruction. After removal of necrotic calvaria, LDSA flap with skin paddle based on a cutaneous branch arising from thoracodorsal-subscapular trunk composite free flap was done. As arterial flow was found to be low in superficial temporal vessels, pedicle was anastomosed to facial vessels using vein graft, tunneled at preauricular region. Flap healed well in the postoperative period with stable cover [].