Bilobed fasciocutaneous flap closure of large meningomyeloceles

Annals of Plastic Surgery
Bekir AtikLutfi Tekes

Abstract

Closure of large meningomyelocele defects presents a challenging problem. In this paper, the procedure and outcome of bilobed fasciocutaneous flap closure of large meningomyeloceles have been discussed. Bilobed fasciocutaneous flap was used in 20 patients with large meningomyelocele defects, the largest of which was 77 cm2. A fasciocutaneous dissection was performed and the defect area was covered by tension-free closure. In the follow-up period of 6 weeks, partial flap loss in a patient and cerebrospinal fluid leak inferior to the flap in another 2 were observed. These patients recovered by dressing without flap loss. Utilization of bilobed flaps for closure of large meningomyelocele defects seems to be an effective and reliable procedure, with advantages of decreased operative time, minimal bleeding, the suture lines for dura and flap not superimposed, and low morbidity.

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Citations

May 4, 2012·International Urology and Nephrology·Ilhan GecitO Faruk Kocak
Feb 14, 2015·Journal of Neurosurgery. Pediatrics·Yüksel KankayaUğur Koçer
Feb 9, 2011·Annals of Plastic Surgery·Daghan IsikBekir Atik
May 25, 2007·Annals of Plastic Surgery·Oren Lapid
Feb 19, 2008·Annals of Plastic Surgery·Bekir AtikNejmi Kiymaz
Jun 16, 2010·Annals of Plastic Surgery·Rohat KutlayYasemin Isik
Oct 2, 2019·Neurosurgical Focus·Cleiton FormentinEnrico Ghizoni
Jun 12, 2014·Annals of Plastic Surgery·Harun CöloğluHüseyin Borman
Dec 23, 2016·The Journal of Craniofacial Surgery·Omer Faruk Kocak, Canser Yilmaz Demir
Jul 16, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Tugay AtalayAslan Guzel

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