Large scalp defects can present as a challenging clinical problem for a reconstructive surgeon. We present a patient with a large scalp defect following an infection after neurosurgical treatment. Reconstruction of a defect was performed using a free latissimus dorsi flap with split-thickness skin graft. For achieving good aesthetic result, we transplanted 1000 minigrafts in 3 sessions on the latissimus dorsi flap. In our opinion, hair transplantation on a free microvascular flap is a viable and easy procedure with good aesthetic outcome for treating residual alopecia after reconstructing large scalp defects.
From the *Departments of Plastic Surgery and †Surgery, University Hospital Center Zagreb, Zagreb; and ‡Department of Surgery, General Hospital Karlovac, Karlovac, Croatia.
Received July 1, 2012, and accepted for publication, after revision, February 5, 2013.
Conflicts of interest and sources of funding: none declared.
Reprints: Hrvoje Kisić, MD, Department of Plastic Surgery, University Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia. E-mail: firstname.lastname@example.org.