Myocutaneous propeller flap based on the superior gluteal artery (SGA) for closure of large lumbosacral meningomyelocoele defects: a case report.

Publikation

Myocutaneous propeller flap based on the superior gluteal artery (SGA) for closure of large lumbosacral meningomyelocoele defects: a case report.

Wissenschaftlicher Artikel/Review - 27.08.2011

Schmidt Volker, Horch Raymund E, Dragu Adrian, Beier Justus P, Eyüpoglu Ilker Y, Hirsch Almut, Kneser Ulrich

Zitation

Schmidt V, Horch R, Dragu A, Beier J, Eyüpoglu I, Hirsch A, Kneser U. Myocutaneous propeller flap based on the superior gluteal artery (SGA) for closure of large lumbosacral meningomyelocoele defects: a case report. J Plast Reconstr Aesthet Surg 2011; 65:521-4.

Art

Wissenschaftlicher Artikel/Review (Englisch)

Zeitschrift

J Plast Reconstr Aesthet Surg 2011; 65

Veröffentlichungsdatum

27.08.2011

eISSN (Online)

1878-0539

Seiten

521-4

Kurzbeschreibung/Zielsetzung

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.