Rotation flap closure of a giant dorsolumbar myelomeningocele: technical note

Gomar-Alba, Mario; Vargas-López, Antonio José; Narro-Donate, José María; Castelló-Ruiz, María José; García-Pérez, Fernando; Masegosa-González, José

doi:10.1007/s00381-020-05021-7

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…However, the blood supply of local flaps is mostly dependent on the pedicle of the flap, there is no well-known blood supply artery, and the size is limited 6 . Gomar-alba et al 7 used local flaps to repair huge dorsal meningocele flaps with small size limitation, but it would lead to lack of subcutaneous soft tissue. Choi et al 8 reported a 72-year-old patient who underwent resection of a huge thoracic spinal cord with a skin defect of 12×12 cm but without kyphosis.…”

Section: Discussionmentioning

confidence: 99%

Closure of Giant Dorsal Lumbosacral Myelomeningocele in Children Using Double Expanded Flaps: A Case Report and Literature Review

Chen,

Shen,

Han

et al. 2023

Journal of Craniofacial Surgery

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Introduction: Myelomeningocele (MMC) is the most common neural tube defect that can occur due to neural tube’s failure to fuse properly during embryonic life. To prevent this, expanded flaps can be used for closure of large MMCs. Presentation of Case: A 4-year and 6-month girl was diagnosed with multiple congenital anomalies including hydrocephalus, dorsal lumbosacral MMC, and congenital tethered cord syndrome. Preoperative evaluation showed no lower limb movements and the size of the sacrococcygeal region was about 10 cm × 8 cm × 15 cm mass, prominent thoracic kyphosis, and no obvious urogenital or limb anomalies. The large dorsal lumbosacral MMC was treated with a double expanded flap to reconstruct, the soft tissue defect following the neurosurgical reconstruction. Discussion: The expanded flap was deemed as viable as all wounds were healed without any complications, such as dehiscence, leakage of cerebrospinal fluid, or infection. The technique described in the case report offers an effective method of closure. Conclusion: This flap can be an effective method for reconstruction of large dorsal lumbosacral MMC defects that might improve outcomes and minimize complications. It also ensures minimal wound tension and breakdown.

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Section: Discussionmentioning

confidence: 99%

Closure of Giant Dorsal Lumbosacral Myelomeningocele in Children Using Double Expanded Flaps: A Case Report and Literature Review

Chen,

Shen,

Han

et al. 2023

Journal of Craniofacial Surgery

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“…1). 3,5,6,8,[12][13][14][15][16][17][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] In addition, a retrospective chart review of all MMC closures performed at Phoenix Children's Hospital from January 2015 to January 2020. After proper IRB approval, all closures performed by board-certified plastic surgeons were identified and further analyzed.…”

Section: Methodsmentioning

confidence: 99%

Meningomyelocele Reconstruction: Comparison of Repair Methods via Systematic Review

Leach,

Pflibsen,

Roberts

et al. 2023

Journal of Craniofacial Surgery

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Purpose: The purpose of this article was to appraise the various methods of reconstruction for meningomyelocele (MMC) defects. Methods: A systematic review of the literature was performed to evaluate all reconstructions for MMC. The method of reconstruction was categorized by: primary closure with and without fascial flaps, random pattern flaps, VY advancement flaps (VY), perforator flaps, and myocutaneous flaps. Perforator flaps were subsequently subcategorized based on the type of flap. Results: Upon systematic review, 567 articles were screened with 104 articles assessed for eligibility. Twenty-nine articles were further reviewed and included for qualitative synthesis. Two hundred seventy patients underwent MMC repair. The lowest rates of major wound complications (MWC) were associated with myocutaneous and random pattern flaps. A majority of MWC was in the lumbrosacral/sacral region (87.5% of MWC). In this region, random patterns and perforator flaps demonstrated the lowest rate of MWC (4.5, 8.1%). Conclusions: Plastic surgery consultation should be strongly considered for MMC with defects in the lumbosacral/sacral region. Perforator flaps are excellent options for the reconstruction of these defects.

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Rotation flap closure of a giant dorsolumbar myelomeningocele: technical note

Cited by 2 publications

References 18 publications

Closure of Giant Dorsal Lumbosacral Myelomeningocele in Children Using Double Expanded Flaps: A Case Report and Literature Review

Closure of Giant Dorsal Lumbosacral Myelomeningocele in Children Using Double Expanded Flaps: A Case Report and Literature Review

Meningomyelocele Reconstruction: Comparison of Repair Methods via Systematic Review

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