Reliability of extended dorsal intercostal artery perforator propeller flaps for reconstruction of large myelomeningocele defects

Tenekeci, Göktekin; Basterzï, Yavuz

doi:10.1016/j.bjps.2016.10.016

Cited by 4 publications

(7 citation statements)

References 13 publications

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“…To prevent complications like encephalitis, meningitis, and consequences or even death from such diseases, rapid reconstruction of myelomeningocele deformities is crucial [12].…”

Section: Discussionmentioning

confidence: 99%

“…When Myelomeningocele defects is smaller than; 5 centimeters, primary closure may be used to reconstruct it; however, it may be too tight if the defect is very large carrying the risk of wound dehiscence necessitating the flap use for closure. There are several methods for reconstructing huge myelomeningocele defects, including Z-plasty, rotation-transposition fascio-cutaneous flaps, reverse turnover latissimus dorsi muscle flaps, bilobed flaps, bilateral V-Y advancement flaps, and perfo-rator flaps like DICAP and superior gluteal artery perforator flaps [12].…”

Section: Discussionmentioning

confidence: 99%

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The Versatility of Dorsal Intercostal Artery Perforator-Based Transposition Flap for Reconstruction of Large Myelomeningocele Defects

Alsharkawy

Hefnawy

Ghoraba

et al. 2023

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: To provide appropriate, sustainable, and tension-free covering during the reconstruction of extensive myelomeningocele defects, plastic surgeons and neurosurgeons must work closely together. Numerous strategies for reconstruction have been documented, including perforator flaps, muscle flaps, and local random flaps. Dorsal intercostal artery perforator (DICAP) based transposition flap is an option that to be used for reconstruction of these large defects.Objective: To study the versatility of DICAP for Reconstruction of large myelomeningocele defects.Patients and Methods: Ten patients with meningomyelocele deformities who had DICAP based transposition flap for closure were included in this research in the period between March 2016 to October 2022. We operated on neonates as a joint procedure with neurosurgeons.Results: We operated on 10 patients as joint procedure with neurosurgery, age range from 24hrs to 7 days (mean 4.3). Defect sizes ranged between 5 x 5 and 8.5 x 6cm (average was 6.4 x 5.6cm). Max flap dimensions was 8 x 6cm from midline to tip of flap (average 7.2 x 5.8). Defects were thoracolumbar in all patients, extending to sacral region in two patients all flaps healed well in place; 2 flaps suffered from partial superficial necrosis at the edges with no need for any surgical intervention.Conclusions: When compared to a random design, DICAP based transposition flaps are more stable and reliable, provide reconstruction of the defect without crossing the dura and skin suture lines, and have reduced donor-site morbidity.

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“…To prevent complications like encephalitis, meningitis, and consequences or even death from such diseases, rapid reconstruction of myelomeningocele deformities is crucial [12].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Versatility of Dorsal Intercostal Artery Perforator-Based Transposition Flap for Reconstruction of Large Myelomeningocele Defects

Alsharkawy

Hefnawy

Ghoraba

et al. 2023

The Egyptian Journal of Plastic and Reconstructive Surgery

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“…During the initial operation to harvest DICAP propeller █ DISCUSSION Plastic surgery and neurosurgery teams perform a combined operation for reconstruction of the neural tube defect and soft tissue early in the postpartum period (2). Since the introduction of perforator flaps by Koshima and Soeda in 1989, their use in reconstruction of various defects throughout the body, including myelomeningocele defects, has become widespread (2,3,17).…”

Section: Discussionmentioning

confidence: 99%

“…Soft tissue reconstruction of myelomeningocele defects with local perforator flaps has been reported in several articles. These flaps include DICAP propeller flaps (2,17), and superior gluteal artery perforator flaps (3).…”

Section: Discussionmentioning

confidence: 99%

“…flaps, we perform intramuscular pedicle dissection to prevent kinking of the perforator, to be able to supply the flap with multiple perforators without twisting of the perforators, and to move the flap freely toward the defect (17). Therefore, a major re-advancement of the DICAP propeller flap may not be possible for reconstruction if partial flap necrosis occur.…”

Section: █ Conclusionmentioning

confidence: 99%

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Comparison of dorsal intercostal artery perforator propeller flaps and bilateral rotation flaps in reconstruction of myelomeningocele defects

Tenekeci

Basterzï²,

Ünal³

et al. 2018

Turkish Neurosurgery

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Add-on extended dorsal intercostal artery perforator/propeller (AOE-DICAP) flaps for the reconstruction of large thoracolumbar myelomeningocele defects

2022

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Reliability of extended dorsal intercostal artery perforator propeller flaps for reconstruction of large myelomeningocele defects

Cited by 4 publications

References 13 publications

The Versatility of Dorsal Intercostal Artery Perforator-Based Transposition Flap for Reconstruction of Large Myelomeningocele Defects

The Versatility of Dorsal Intercostal Artery Perforator-Based Transposition Flap for Reconstruction of Large Myelomeningocele Defects

Comparison of dorsal intercostal artery perforator propeller flaps and bilateral rotation flaps in reconstruction of myelomeningocele defects

Add-on extended dorsal intercostal artery perforator/propeller (AOE-DICAP) flaps for the reconstruction of large thoracolumbar myelomeningocele defects

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