AUTOLOGOUS FASCIA LATA GRAFTING WITH SCALP FLAP COVERAGE: A NOVEL STRATEGY FOR COMPLEX DURAL DEFECTS
H. Lahmidi*, A. Meftah, A. Fikry, M. Habla, A. El Youssoufi, S. Karti, S. Sabur, A. EL Harti and M. Diouri
ABSTRACT
Introduction: Restoration of dural integrity after surgical resection is crucial to prevent cerebrospinal fluid (CSF) leakage and infectious complications. Autologous grafts, particularly fascia lata, are preferred due to their high biocompatibility and low immunogenicity. Methods: We present two cases of dural defect reconstruction using an autologous fascia lata graft combined with a vascularized scalp flap. Indications, surgical technique, and postoperative outcomes were analyzed. Results: Both patients exhibited favorable healing without recurrence of CSF leakage or infection. The fascia lata graft showed satisfactory integration, and coverage with vascularized tissue enhanced healing and resistance to infection. Conclusion: Autologous fascia lata is a safe and effective alternative to synthetic dural substitutes, particularly in contaminated or high-risk environments. Its combination with a vascularized flap improves the durability and quality of dural closure.
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