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Closure of meningomyelocele defects using various types of keystone-design perforator island flaps
- Source :
- Archives of Plastic Surgery, Vol 48, Iss 3, Pp 261-268 (2021), Archives of Plastic Surgery
- Publication Year :
- 2021
- Publisher :
- Korean Society of Plastic and Reconstructive Surgeons, 2021.
-
Abstract
- Background Various methods have been described to close large meningomyelocele defects, but no technique has been proven superior to others. This study presents cases of meningomyelocele defect closure with a keystone-design perforator island flap. Methods A retrospective study was performed on 14 patients with meningomyelocele defects closed using various types of keystone flaps. Results The median age of the patients at surgery was 10.5 days (range, 1–369 days) and the average defect size was 22.5 cm2 (range, 7.1–55.0 cm2). The average operative time for defect closure was 89.6 minutes (range, 45–120 minutes). Type IV bilateral keystone flaps were used for four defects, type IV unilateral flaps for six defects, type IIA flaps for two defects, and type III flaps for two defects. Conclusions All the defects healed completely with no major complications. The keystone-design perforator island flap is a reliable, easy, and fast technique to close large meningomyelocele defects.
- Subjects :
- medicine.medical_specialty
RD1-811
Island Flaps
surgical flaps
03 medical and health sciences
Defect closure
perforator flaps
0302 clinical medicine
medicine
Breast/Trunk
Major complication
Defect size
Surgical Flaps
surgery, plastic
business.industry
meningomyelocele
island flaps
Surgery.plastic
Surgery
030220 oncology & carcinogenesis
Operative time
Original Article
business
030217 neurology & neurosurgery
Perforator flaps
Subjects
Details
- Language :
- English
- ISSN :
- 22346171 and 22346163
- Volume :
- 48
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Archives of Plastic Surgery
- Accession number :
- edsair.doi.dedup.....4175b524473d28a53f432b8fb1487670