|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| FIG. 19-27. A large 14 x 27 cm myocutaneous latissimus flap was elevated to resurface the anterior half of the skull.
A 32-year-old man underwent resection of a scalp fibrosarcoma, which recurred.
FIG. 19-31. The skin grafts originally applied were adherent to bone.
This patient suffered total avulsion of the scalp in an industrial accident. The thin split-thickness skin grafts used to cover the periosteum were constantly breaking down. (From Whitney, T.M., Buncke, H.J., Alpert, B.S., Buncke, G.M., and Lineaweaver, W.C.: The serratus anterior free flap: Experience with 100 consecutive cases. Plast. Reconstr. Surg. In press, 1990.
FIG. 19-38. View of the posterior part of the scalp, which has multiple ulcers. The foam-rubber pattern is an estimate of the amount of tissue needed to cover the skin-grafted area.
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