Reverse Anterolateral Thigh Flap for Complex Scalp Reconstruction

It is common for patients diagnosed with severe traumatic brain injury or intracranial tumors to undergo multiple craniotomy and cranioplasty procedures. In the setting of infection, these patients can develop scalp wounds with no local options. A reverse flow anterolateral thigh (ALT) flap for coverage of a complex multifocal scalp wound in a patient with exposed cranioplasty mesh and multiple prior operations without necessitating vein grafts was presented. This might be the first reverse flow free ALT flap to be reported in head and neck reconstruction. Address correspondence and reprint requests to Jamie A. Spitz, MD, Department of Surgery, Division of Plastic, Reconstructive, and Cosmetic Surgery, University of Illinois Hospital and Health Science System at Chicago, 820 S Wood Street, Suite 515, Clinical Science North Building (M/C 958), Chicago, IL 60612; E-mail: jamiespitzmd@gmail.com Received 29 March, 2018 Accepted 16 June, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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