Extradural myelomeningocele reconstruction using local turnover fascial flaps and midline linear skin closure
Kamlesh B Patel1, Amir H Taghinia, Mark R Proctor
1Department of Plastic and Oral Surgery, Children's Hospital Boston, Harvard Medical School, 300 Longwood Ave., Boston, MA 02115, USA.
Abstract:
Myelomeningocele is the most common neural tube defect. Repair typically involves deep closure with regional muscle flaps (e.g. latissimus dorsi, gluteus maximus) and skin closure with rotation, bipedicle, or rhomboid flaps. We describe the reconstruction of large myelomeningocele defects using (1) local fascial turnover flaps with or without paraspinous muscle flaps for deep coverage of the dural repair followed by (2) linear, midline skin closure.
