CC BY 4.0 · Arch Plast Surg 2021; 48(03): V1
DOI: 10.1055/s-0043-1777228
From the Author Video

Commentary: Closure of Meningomyelocele Defects using Various Types of Keystone-Design Perforator Island Flaps

Nandita Melati Putri
1   Department of Surgery, Division of Plastic, Reconstructive, and Aesthetic Surgery, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
› Author Affiliations
› Further Information
 
  Permissions and Reprints

Comment on:

Closure of meningomyelocele defects using various types of keystone-design perforator island flapsArch Plast Surg 2021; 48(03): 261-268
DOI: 10.5999/aps.2020.01326

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

    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. A retrospective study was performed on 14 patients with meningomyelocele defects closed using various types of keystone flaps. 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. 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.


    Quality:

    #

    No conflict of interest has been declared by the author(s).

    Address for correspondence

    Nandita Melati Putri, MD
    Department of Surgery, Division of Plastic, Reconstructive, and Aesthetic Surgery, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia
    RS Cipto Mangunkusumo, Gedung A Lantai 4, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta 10430
    Indonesia   

    Publication History

    Article published online:
    22 February 2024

    © 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

    Thieme Medical Publishers, Inc.
    333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

       Permissions and Reprints