Soft tissue closure and plastic surgical aspects of large dorsal myelomeningocele defects (review of techniques)

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dc.contributor.authorÖzçelik, Derya
dc.contributor.authorYıldız, Kartal Hakan
dc.contributor.authorİş, Merih
dc.contributor.authorDöşoğlu, Murat
dc.date.accessioned2020-04-30T23:32:01Z
dc.date.available2020-04-30T23:32:01Z
dc.date.issued2005
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000229732400010en_US
dc.descriptionPubMed: 15586259en_US
dc.description.abstractThe large myelomeningocele defects that cannot be closed reliably by simple skin undermining require a close cooperation between the neurosurgeon and the plastic surgeon. In this study, a 3-year review was undertaken of nine consecutive patients with a myelomeningocele defect treated in our hospital. The aim of the study was to analyze the size, location of myelomeningocele defects, features of the surrounding tissue, and type and results of the reconstruction method for skin closure. Of the nine patients, five were repaired within the first 48 h of life, two within the 1st month of life, and two were repaired within the 1st year of life. Of the nine patients, seven (78%) underwent repair with direct skin approximation by the Neurosurgical Service. For three patients (33%) with large lumbosacral meningomyelocele defects, including one patient who had failed direct skin approximation, the Plastic Surgery Service achieved the skin closure by bilateral paralumbar fasciocutaneous rotational flaps. Minimal area in the patients referred to the Plastic Surgery Service was 24 cm(2) ( range 24 - 48 cm(2)); patients having 18 cm2 or less skin defect were not referred for closure. In conclusion, fasciocutaneous rotational flaps provided tension-free, durable, innervated and well-vascularized skin coverage over the dural repair in all three referred patients, without using skin graft. Since myelomeningocele defects vary in size, shape, and location, no single procedure applies to all. Therefore, other reconstruction methods involving skin grafts, fasciocutaneous flaps, and musculocutaneous flaps are reviewed in this report.en_US
dc.identifier.doi10.1007/s10143-004-0357-2en_US
dc.identifier.endpage225en_US
dc.identifier.issn0344-5607
dc.identifier.issn1437-2320
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage218en_US
dc.identifier.urihttps://doi.org/10.1007/s10143-004-0357-2
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4573
dc.identifier.volume28en_US
dc.identifier.wosWOS:000229732400010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofNeurosurgical Reviewen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectmyelomeningoceleen_US
dc.subjectdefecten_US
dc.subjectflapen_US
dc.subjectreconstructionen_US
dc.subjectplastic surgeryen_US
dc.titleSoft tissue closure and plastic surgical aspects of large dorsal myelomeningocele defects (review of techniques)en_US
dc.typeArticleen_US

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