Bilateral Propeller Flap Closure of Large Meningomyelocele Defects


Cologlu H., Ozkan B., Uysal A. C. , ÇÖLOĞLU Ö. , Borman H.

ANNALS OF PLASTIC SURGERY, cilt.73, ss.68-73, 2014 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 73 Konu: 1
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1097/sap.0b013e31826caf5a
  • Dergi Adı: ANNALS OF PLASTIC SURGERY
  • Sayfa Sayıları: ss.68-73

Özet

Background: Meningomyelocele is a defect of the spinal cord, vertebral spine, and overlying skin and is the most common form of spinal dysraphism. Multiple methods of soft tissue closure for larger myelomeningocele defects have been described, including skin grafting, random fasciocutaneous flaps, skin undermining with relaxing incisions, and musculocutaneous flaps. Most current methods for closure of defects of 8 cm and greater and kyphotic spines usually remains inadequate. In this study, we present our clinical experience with a new surgical procedure, bilateral propeller (BP) flaps based on dorsal intercostal and lumbar artery perforator, for the closure of large thoracolumbar meningomyelocele defects.