Reconstruction of a Dural Defect in the Occipital Regions Using a Lower Trapezius Musculocutaneous Flap: Case Report

Abstract

Artificial dural materials are widely used to repair the dura mater in the occipital region. However, when wound infections associated with cerebrospinal fluid (CSF) leakage occur, replacement with well-vascularized tissue is necessary for wound healing. The trapezius musculocutaneous flap, which is based on the transverse and dorsal scapular arteries, is a large, well-vascularized flap that is reliable for the closure of such complicated wounds. The lower trapezius musculocutaneous flap is an effective and useful treatment for dural defects in the occipital region with CSF leakage.