[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