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Ten months after an initial emergency procedure in which lacerated bone and soft tissue were excised, reconstruction was performed. The bone defect, situated on the left frontoparietal region, was 85 cm<jats:sup>2<\/jats:sup> and was filled by a custom-made porous hydroxyapatite implant. The quality of the overlying soft tissue did not allow the use of classic local and locoregional coverage techniques. A free latissimus dorsi muscle flap branched on the contralateral superficial temporal pedicle was used and left for secondary healing to take advantage of scar retraction and to minimize alopecia. Stable well-vascularized implant coverage as well as an esthetically pleasing skull shape was achieved. Results in this case suggest that concomitant reconstruction of large calvarial defects by cranioplasty with a custom-made hydroxyapatite implant covered by a free latissimus dorsi muscle flap is a safe and efficient procedure in children, provided that there is no underlying infection of the operative site.<\/jats:p>","DOI":"10.3171\/2016.8.peds1653","type":"journal-article","created":{"date-parts":[[2016,10,28]],"date-time":"2016-10-28T13:57:59Z","timestamp":1477663079000},"page":"51-55","source":"Crossref","is-referenced-by-count":15,"title":["Reconstruction of a large calvarial traumatic defect using a custom-made porous hydroxyapatite implant covered by a free latissimus dorsi muscle flap in an 11-year-old patient"],"prefix":"10.3171","volume":"19","author":[{"given":"Anne","family":"Morice","sequence":"first","affiliation":[{"name":"APHP, H\u00f4pital Necker Enfants Malades, Service de chirurgie maxillo-faciale, Paris;"},{"name":"Department of Neurosurgery, Necker Hospital, Universit\u00e9 Paris Descartes, Sorbonne Paris Cit\u00e9, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Kolb","sequence":"additional","affiliation":[{"name":"Institut Gustave Roussy, D\u00e9partement de canc\u00e9rologie cervico-faciale, Service de chirurgie plastique, Villejuif;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnaud","family":"Picard","sequence":"additional","affiliation":[{"name":"APHP, H\u00f4pital Necker Enfants Malades, Service de chirurgie maxillo-faciale, Paris;"},{"name":"Universit\u00e9 Paris Descartes, Paris;"},{"name":"Centre de r\u00e9f\u00e9rences des malformations de la face et de la cavit\u00e9 buccale, Paris; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natacha","family":"Kadlub","sequence":"additional","affiliation":[{"name":"APHP, H\u00f4pital Necker Enfants Malades, Service de chirurgie maxillo-faciale, Paris;"},{"name":"Universit\u00e9 Paris Descartes, Paris;"},{"name":"Centre de r\u00e9f\u00e9rences des malformations de la face et de la cavit\u00e9 buccale, Paris; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phanie","family":"Puget","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Necker Hospital, Universit\u00e9 Paris Descartes, Sorbonne Paris Cit\u00e9, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-peds1653","series-title":"J Craniofac Surg","doi-asserted-by":"publisher","first-page":"1205","DOI":"10.1097\/SCS.0b013e3181e17c1e","article-title":"Lessons learned reconstructing complex scalp defects using free flaps and a cranioplasty in one stage","volume":"21","author":"Afifi A,","year":"2010","unstructured":"Afifi A, Djohan RS, Hammert W, Papay FA, Barnett AE, Zins JE: Lessons learned reconstructing complex scalp defects using free flaps and a cranioplasty in one stage. 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