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CC BY-NC 4.0 · Arch Plast Surg 2021; 48(03): 261-268
DOI: 10.5999/aps.2020.01326
Breast/Trunk
Original Article

Closure of meningomyelocele defects using various types of keystone-design perforator island flaps

Nandita Melati Putri 
Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
,
Narottama Tunjung 
Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
,
Patricia Marcellina Sadikin 
Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
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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.

Keywords

Surgery, plastic - Meningomyelocele - Perforator flaps - Island flaps - Surgical flaps


Publikationsverlauf

Eingereicht: 02. Juli 2020

Angenommen: 12. April 2021

Artikel online veröffentlicht:
21. März 2022

© 2021. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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Kommentar zu diesem Artikel:

Commentary: Closure of Meningomyelocele Defects using Various Types of Keystone-Design Perforator Island FlapsArch Plast Surg 2021; 48(03): V1-V1
DOI: 10.1055/s-0043-1777228

 

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