Reverse Anterolateral Thigh Flap for Complex Scalp Reconstruction

J Craniofac Surg. 2019 Jan;30(1):167-168. doi: 10.1097/SCS.0000000000004835.


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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Free Tissue Flaps / blood supply*
  • Humans
  • Male
  • Neck / surgery
  • Plastic Surgery Procedures / methods*
  • Scalp / surgery*
  • Thigh / surgery