Table 2.
Surgical Details Including Recipient Vessels, Previous Radiation, Infection, CSF Leak, Complications, Outcome, and Follow-up Period
Patient | Surgical Details | Recipient Vessels | CSF Leak |
Radiation | Prior or Current Infection |
Complications | Outcome/Follow-up |
---|---|---|---|---|---|---|---|
1 | Craniectomy, dural tumor resection, latissimus dorsi free flap with vascularized rib graft, STSG | Superficial temporal | No | Yes | Yes | Wound debridement,2 wk postoperation, VAC, STSG 4 wk later | Died of recurrence 1 y postoperative |
2 | Craniectomy, latissimus dorsi free flap with vascularized rib graft, STSG | Superficial temporal | No | No | Yes | Arterial thrombosis 24 h postoperation, salvaged with vein graft, 2 wk later partial flap necrosis treated with debridement and STSG | 35 mo |
3 | Craniectomy, latissimus dorsi free flap with 8th + 10th vascularized rib graft | Internal jugular vein, external carotid artery | No | No | Yes | Revision debridement for wound breakdown 4 wk postoperation | 29 mo |
4 | Craniectomy, latissimus dorsi free flap with vascularized rib graft | Superior thyroid | Yes | No | Yes | None | 15 mo |
5 | Craniectomy, latissimus dorsi free flap with vascularized rib graft, STSG | Superficial temporal | Yes | Yes | Yes | None | 12 mo |
CSF, cerebrospinal fluid; STSG, split-thickness skin graft; VAC, vacuum-assisted closure.