Closure of meningomyelocele defects using various types of keystone-design perforator island flaps
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 perfor...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2021-05-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01326 |
| _version_ | 1818040313364611072 |
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| author | Nandita Melati Putri Narottama Tunjung Patricia Marcellina Sadikin |
| author_facet | Nandita Melati Putri Narottama Tunjung Patricia Marcellina Sadikin |
| author_sort | Nandita Melati Putri |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T08:12:33Z |
| format | Article |
| id | doaj.art-69f8019cedd54a0ca4ec8a7f8c49bc14 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-12-10T08:12:33Z |
| publishDate | 2021-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-69f8019cedd54a0ca4ec8a7f8c49bc142022-12-22T01:56:32ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712021-05-01480326126810.5999/aps.2020.013263854Closure of meningomyelocele defects using various types of keystone-design perforator island flapsNandita Melati Putri0Narottama Tunjung1Patricia Marcellina Sadikin2Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDivision of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDivision of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaBackground 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.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01326surgery, plasticmeningomyeloceleperforator flapsisland flapssurgical flaps |
| spellingShingle | Nandita Melati Putri Narottama Tunjung Patricia Marcellina Sadikin Closure of meningomyelocele defects using various types of keystone-design perforator island flaps Archives of Plastic Surgery surgery, plastic meningomyelocele perforator flaps island flaps surgical flaps |
| title | Closure of meningomyelocele defects using various types of keystone-design perforator island flaps |
| title_full | Closure of meningomyelocele defects using various types of keystone-design perforator island flaps |
| title_fullStr | Closure of meningomyelocele defects using various types of keystone-design perforator island flaps |
| title_full_unstemmed | Closure of meningomyelocele defects using various types of keystone-design perforator island flaps |
| title_short | Closure of meningomyelocele defects using various types of keystone-design perforator island flaps |
| title_sort | closure of meningomyelocele defects using various types of keystone design perforator island flaps |
| topic | surgery, plastic meningomyelocele perforator flaps island flaps surgical flaps |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01326 |
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