Figure 7: Case 4: 39-year-old female with extended scaring of the frontotemporal region after trepanation 20 years ago with osteonecrosis and multiple failed cranioplasties
a: Preoperative cranial view. b: Preoperative side view. c: Cranial bone reconstruction with titanium plate. d: Design of extended lateral arm flap. e: Flap harvesting from lateral. f: Flap harvesting from the medial. g: Harvested flap. h: Intraoperative thrombosis of the superficial temporal artery. i: Vena saphena magna graft, anastomosed to the superior thyroid artery. j: Cranial anastomosis of the graft to the flap artery (deep brachial artery). k: Postoperative anterolateral view. l: Postoperative lateral view. m: Donor site.