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

Publication

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

Journal Paper/Review - Aug 27, 2011

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

Citation

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.

Type

Journal Paper/Review (English)

Journal

J Plast Reconstr Aesthet Surg 2011; 65

Publication Date

Aug 27, 2011

Issn Electronic

1878-0539

Pages

521-4

Brief description/objective

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.