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Laparoscopic Free Omental Flap for Craniofacial Reconstruction: A Video Article Demonstrating Operative Technique and Surgical Applications

McIntyre, Benjamin C. MD, FACS; Lobb, David MBChB, MRCS; Navarro, Fernando MD, FACS; Nottingham, James MD, FACS

Journal of Craniofacial Surgery: March 2017 - Volume 28 - Issue 2 - p 311–313
doi: 10.1097/SCS.0000000000003343
Original Articles

The omental flap is a well described pedicled flap for surgical reconstruction of multiple body locations. As a laparoscopically harvested free flap, the omentum offers a minimally invasive solution to many reconstructive problems including extremity and head and neck wounds. This video article highlights the operative technique involved in flap harvest and inset for a cranial defect. An illustrative case involving a 23-year-old female's traumatic scalp degloving injury that was resurfaced by free omental flap and split-thickness skin graft is presented. This patient had stable long-term wound coverage for a very severe injury. Through video media we demonstrate that the laparoscopically harvested free omental flap is a minimally invasive, 2-team operation that provides soft tissue coverage of severe, remote wounds. This video demonstrates a safe operative technique and nuances specific to laparoscopic harvest of this flap.

*Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS

Department of Surgery, University of South Carolina School of Medicine, Columbia, SC.

Address correspondence and reprint requests to Benjamin C. McIntyre, MD, FACS, Associate Professor of Plastic and Reconstructive Surgery, Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, 2500 N. State St, Jackson, MS 39216; E-mail: bmcintyre@umc.edu

Received 15 July, 2016

Accepted 7 October, 2016

The authors report no conflicts of interest.

Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com).

© 2017 by Mutaz B. Habal, MD.