Summary
Early and reliable closure of large meningomyelocoele defects in newborns is critical
to prevent severe infectious complications and neurologic deterioration. Here, we
introduce a new surgical method for the reconstruction of large horizontal meningomyelocoele
defects, in which we use unilateral myocutaneous tissue based on the superior gluteal
artery (SGA) as a propellar flap. This procedure permits a tension-free and durable
multilayer closure of difficult, large-scale horizontal defects that cannot adequately
be treated by conventional myocutaneous advancement flaps. The technique is reliable
and straightforward and requires no skin grafts or relaxing incisions. The SGA-based
myocutaneous propeller flap might be a promising alternative for complex meningomyelocoele
reconstructions in the future.
Keywords
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Article info
Publication history
Published online: August 29, 2011
Accepted:
August 7,
2011
Received:
August 4,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
