Fronto-parietal Osteomyelitis managed by Bipedicled Bucket Handle scalp flap

Authors

  • Pawan K. Dixit Department of Plastic Surgery, King George Medical University, Lucknow, Uttar Pradesh, India
  • Divya Narain Upadhyay Department of Plastic Surgery, King George Medical University, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20182256

Keywords:

Bipedicled scalp flap, Bucket handle scalp flap, Osteomyelitis skull

Abstract

Osteomyelitis of skull is rare clinical entity in today’s world. Mortality from complications from skull osteomyelitis is 20-40 %. We report a 60-year-old patient presented with fronto-parietal osteomyelitis with orbital extension, with known cardiac and pulmonary disease. Large bipedicled bucket handle flap was used for soft tissue reconstruction. Though free flap reconstruction is ideal for large scalp defect, it requires technical expertise and patient’s fitness for surgery. Bipedicled bucket handle flap can be successfully used for large scalp defect reconstruction in patients in which free flap reconstruction is not possible.

References

Tuon FF, Russo R, Nicodemo AC. Brain Abscess Secondary to Frontal Osteomyelitis. Revista do Instituto de Medicina Tropical de Sao Paulo. 2006; Available at: www.scielo.br. Accessed August 27, 2007

Strumas N, Antonyshyn O, Caldwell CB, Mainprize J. Multimodality imaging for precise localization of craniofacial osteomyelitis. J Craniofac Surg. 2003;14:215-9

Rowlands RG, Lekakis GK, Hinton AE. Masked pseudomonalskull base osteomyelitis presenting with a bilateralXth cranial nerve palsy. J Laryngol Otol. 2002;116:556-8

Auluck A. Maxillary necrosis by mucormycosis. a case report and literature review. Med Oral Patol Oral Cir Bucal. 2007;12:E360-4

Wallace HJ. Osteomyelitis and osteoradionecrosis. In:Fonseca RJ, ed. Oral and Maxillofacial Surgery: SurgicalPathology. Philadelphia, PA: WB Saunders; 2000:484-90

Christina OY. Osteomyelitis of the Frontal Bone Ghana Med J. 2007;41:88-90.

Kim JC, Hadlock T, Varvares MA, Cheney ML. Hair-bearing temporoparietal fascial flap reconstruction of upper lip and scalp defects. Archi Faci Plastic Surg. 2001;3:170-7.

Paul K, Sharma S, Paul D. Bipedicle flap for reconstruction of post-electric scalp burn defect. Int Surg J. 2017;4:1783-5.

Lu Y, Cen Y, Qing Y, Wang H. Surgical treatment of chronic osteomyelitis of the skull. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011;25:558-61.

Zarandy MM, Asiabar MK, Mostaan L, Taheri A, Samadzeh et al. Visor flap for lower lip reconstruction. Med J Islam Rep Iran. 2006;19:4297-302.

Downloads

Published

2018-05-24

Issue

Section

Case Reports