[Reconstruction of the scalp and the calvarium with latissimus dorsi muscle free flap]

Reconstruction of both scalp and calvarium defects, requires an urgent and important tissue contribution, that only the microvascular free tissue transfer can ensure. The authors report the case of a patient presenting a wide Darner Ferrand's dermato-fibrosarcoma of the scalp. Surgical resection has created a broad defect of both scalp and calvarium. Repairing was ensured with a latissimus dorsi muscle free flap secondarily grafted. Through this observation, the authors recall the difficulties of repair of these defects by stressing the contribution of the latissimus dorsi muscle free flap as solution of emergency cover of the meninges and the brain

[ temporo-Parietal fascia pedicle flap. Bringing intofocus on applications in maxillo-Facial surgery]

The temporo-parietal fascia pedicule flap, described by DUFOURMENTEL in 1958, find many indications in head and neck reconstructive surgery. the authors remember the benifits of this flap through many illustrations in different anatomic regions: 1-auricular region [ear reconstruction]; 2-mastoid region; 3-parotidis region; 4-orbito-froton-palpebral region; 5- cheeck and labial commissure region. Reviewing the applications of this flap in maxillo-facial surgery will allow an assesment of adequate operative technique, indications, advantages and limits