広範な頭皮欠損を伴った頭蓋骨骨髄炎に対するFree Radial Forearm Flapによる1治験例

Repair of Widely Infected Scalp Defect and Osteomyelitis with Free Radial Forearm Flap: A case report

I．はじめに

　抗生物質を用いた感染症に対する治療法の発達した今日において，化膿性の頭蓋骨骨髄炎は急性，慢性にかかわらず稀な疾患であり，われわれの治療経験そのものも乏しくなりつつある．今回，著者らは前額部皮膚欠損を伴う広範な頭蓋骨骨髄炎の1症例を経験したが，様々な手術法を検討した結果，本例に対して橈側前腕皮弁（radial forearm flap）移植術^9）を行い良好な結果を得た．本法に対する国内外の報告も少なく，しかも大変有用な手術治療法と考えられるので，症例を提示し，橈側前腕皮弁移植術について若干の文献的考察^4,10）を加え報告する．

Abstract

A 60-year-old female was admitted with large frontal scalp defect associated with osteomyelitis clue to chro-nic. infection. Debridement of the infected scalp and frontal bone and the transplantation of the free radial forearm flap with vascular anastomosis was carried out.

The wound cured uneventfully. Cranioplasty was performed ten months after the first operation.

Transplantation of free radial forearm flap was first reported in 1982 by Song in China and has proved to be a very effective operative method, especially for the repair of large infected wounds.

This is because good blood supply results from the anastomosis of larger vessels, and its cleansing effects can eradicate infections and prompt rapid wound healing