ePlasty: Vol. 14
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,a Jonathan C. Banta, BS,b Travis G. Boyd, MD,b Sean S. Kelishadi, MD,a Saeed Chowdhry, MD,a and Jarrod A. Little, MDa,c

aDivision of Plastic and Reconstructive Surgery; bSchool of Medicine; and cDepartment of Otolaryngology, University of Louisville, Louisville, Ky

Correspondence: johnpaultutela@gmail.com
Keywords: skull osteomyelitis, total craniectomy, omental free flap, scalp reconstruction, cranium

Objective: Osteomyelitis of the skull is a rare condition that can lead to systemic illness, bone loss, intracranial complications, and mortality. Osteomyelitis of the skull typically presents as the boney invasion of an overlying infection of the scalp or sinuses, and it is typically treated with antibiotics and proper wound care. Surgical debridement of the affected bone in the form of a craniectomy may be initiated to stop the progression of the infection when antibiotics fail and the underlying bone becomes grossly eroded. Method: The authors present the case of a 54-year-old woman who required a total craniectomy after developing full-thickness osteomyelitis. A  .......