The role of free flaps in the treatment of persistent scalp osteomyelitis

Willy D. Boeckx, R. R W J Van Der Hulst, Lloyd V. Nanhekhan, Francesca De Lorenzi

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To evaluate the efficacy of the combination of an extensive surgical debridement and simultaneous free flap repair in case of troublesome cranial osteomyelitis. METHODS: Five patients with persistent, frontal bone osteomyelitis were treated with surgical debridement of the infected bone and reconstruction with a free flap. In all patients, osteomyelitis occurred after neurosurgical procedures and lasted from 1 to 7 years. A latissimus dorsi muscle flap with a split skin graft has been performed. RESULTS: No flap failure occurred and donor site morbidity was negligible. No signs of osteomyelitis or soft tissue infection were observed during the mean follow-up period of 3.2 years. Furthermore, the contour of the cranium could be preserved without a need for bone grafts or implants. CONCLUSION: In our experience, the combination of an extensive surgical debridement and a free flap transfer is demonstrated to be an effective treatment for "chronic" osteomyelitis of the cranium.

Original languageEnglish
JournalNeurosurgery
Volume59
Issue number1 SUPPL. 1
DOIs
Publication statusPublished - Jul 2006

Fingerprint

Free Tissue Flaps
Osteomyelitis
Scalp
Debridement
Skull
Frontal Bone
Neurosurgical Procedures
Transplants
Therapeutics
Bone and Bones
Soft Tissue Infections
Superficial Back Muscles
Tissue Donors
Morbidity
Muscles
Skin

Keywords

  • Free flap
  • Latissimus dorsi muscle flap
  • Osteomyelitis
  • Reconstructive surgery
  • Scalp

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

The role of free flaps in the treatment of persistent scalp osteomyelitis. / Boeckx, Willy D.; Van Der Hulst, R. R W J; Nanhekhan, Lloyd V.; De Lorenzi, Francesca.

In: Neurosurgery, Vol. 59, No. 1 SUPPL. 1, 07.2006.

Research output: Contribution to journalArticle

Boeckx, Willy D. ; Van Der Hulst, R. R W J ; Nanhekhan, Lloyd V. ; De Lorenzi, Francesca. / The role of free flaps in the treatment of persistent scalp osteomyelitis. In: Neurosurgery. 2006 ; Vol. 59, No. 1 SUPPL. 1.
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