Figure 8: Case 5: 65-year-old female with cranial defect and multiple frontal wound healing disorders after resection of brain metastasis of an invasive ductal carcinoma. Four revisional surgeries with repeated cranioplasties were performed before the patient was referred to plastic surgery.
a: Initial finding with multiple wound healing disorders in the frontal and temporal regions. b: Planning of the visor flap to augment the frontal soft tissues and debride and close the wounds. c: Frontal region after wound closure. d: Visor flap and donor site covered with split-thickness skin grafting. e: Donor site seven days postoperative. Notice the insufficient periosteum around the midline anteriorly due to the previous harvest for duraplasty. The split-thickness skin graft was lost in this region. f: Result six weeks after free latissimus dorsi flap coverage with split-thickness skin grafting, anterolateral view. g: Result six weeks after free latissimus dorsi flap coverage with split-thickness skin grafting; lateral view.