PMC6896475_01
PMC6896475_02
(a) The patient had a large defect (including the soft tissue, scalp, and dura) in the left temporal region. The wound was contaminated with sand, pieces of metal, and machine lubricant. (b) CT findings suggest that the depth of the wound reached the brain tissue. (c) A 15 x 8 cm anterolateral thigh flap with 8 x 8 cm of fascia was harvested. (d) Vascularized fascia was fixed to the edge of the dura. (e) A 70 x 120-cm tissue expander was inserted under the scalp. Preoperatively, 270 ml of expansion was achieved. (f) Two years after final surgery. The skin paddle made from the anterolateral thigh flap was completely removed.
ICRP_A_1691922_F0002_C.jpg
PMC6896475_02_ICRP_A_1691922_F0002_C.jpg
F0002
There was a 12 x 8 cm scalp and soft tissue defect on his left temporal scalp, and wound was contaminated with sand, small pieces of metal, machine lubricant and skull fragments (Figure 2(a)). The CT and X-ray findings suggested that the depth of his wound reached brain tissue (Figure 2(b)). During debridement, a 15 x 8 cm anterolateral thigh flap with an 8 x 8 cm fascia lata was harvested (Figure 2(c)). The fascia was fixed to the dura using 4-0 Nurolon sutures (Figure 2(d)). Four months later, 270 ml of expansion had been achieved and the anterolateral thigh flap skin paddle was removed (Figure 2(e)). Postoperatively, patient did not have any handicap or disability (Figure 2(f)).