Bilateral, bipedicled DIEP flap for staged reconstruction of cranial deformity

Julia C. Slater, Michael Sosin, Eduardo D. Rodriguez, Branko Bojovic

Research output: Contribution to journalArticlepeer-review

Abstract

The deep inferior epigastric perforator (DIEP) adipocutaneous flap is a versatile flap that has been most popularly used in breast reconstruction. However, it has been applied to many other anatomic areas and circumstances that require free-tissue transfer. We present a case report of the use of the DIEP flap for the reconstruction of severe craniomaxillofacial deformity complicated by indolent infection in a gentleman with infected hardware andmethylmethacrylate overlay used in previous repair of traumatic injuries suffered from amotor vehicle collision. The reconstruction was done in a staged, two-step fashion that allowed for adequate infection eradication and treatment using a bilateral, bipedicled DIEP flap for tissue coverage and intravenous antibiotics before the delayed insertion of a polyetheretherketone cranioplasty for reconstruction of the cranial defect.

Original languageEnglish (US)
Pages (from-to)313-317
Number of pages5
JournalCraniomaxillofacial Trauma and Reconstruction
Volume7
Issue number4
DOIs
StatePublished - Dec 25 2014

Keywords

  • Cranioplasty
  • DIEP flap
  • Methyl methacrylate
  • PEEK

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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