TY - JOUR
T1 - Closure of meningomyelocele defects using various types of keystone-design perforator island flaps
AU - Putri, Nandita Melati
AU - Tunjung, Narottama
AU - Sadikin, Patricia Marcellina
N1 - Publisher Copyright:
© 2021 The Korean Society of Plastic and Reconstructive Surgeons.
PY - 2021
Y1 - 2021
N2 - 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 keystonedesign perforator island flap is a reliable, easy, and fast technique to close large meningomyelocele defects.
AB - 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 keystonedesign perforator island flap is a reliable, easy, and fast technique to close large meningomyelocele defects.
KW - Island flaps
KW - Meningomyelocele
KW - Perforator flaps
KW - Plastic
KW - Surgery
KW - Surgical flaps
UR - http://www.scopus.com/inward/record.url?scp=85107221892&partnerID=8YFLogxK
U2 - 10.5999/aps.2020.01326
DO - 10.5999/aps.2020.01326
M3 - Article
AN - SCOPUS:85107221892
SN - 2234-6163
VL - 48
SP - 261
EP - 268
JO - Archives of Plastic Surgery
JF - Archives of Plastic Surgery
IS - 3
ER -