Scalp Reconstruction

A Review of the Literature and a Unique Case of Total Craniectomy in an Adult With Osteomyelitis of the Skull

John P. Tutela, MD; Jonathan C. Banta, BS; Travis G. Boyd, MD; Sean S. Kelishadi, MD; Saeed Chowdhry, MD; Jarrod A. Little, MD


ePlasty. 2014;14 

In This Article


Throughout the patient's hospital stay, the patient recovered from her left-sided weakness and started responding appropriately to questions. Furthermore, with continued physical rehabilitation, she regained full mobility. As the patient recurred a yeast infection of her remaining scalp flap, synthetic cranioplasty was deferred and protection was provided by a helmet. At a 2 month follow-up, she remained free of infection. Omental free flap with dermal and split-thickness skin grafts provided durable long-term soft tissue coverage for a total craniectomy defect caused by osteomyelitis of the skull in an adult.