Bilateral split latissimus dorsi V-Y flaps for closure of large thoracolumbar meningomyelocele defects.
Closure of large meningomyelocele wounds and defects always requires durable and safe coverage of the dural repair. A new technical method for the reconstruction of large thoracolumbar meningomyelocele defects is described in which bilateral musculocutaneous flaps are advanced and transposed medially in a V-Y sliding manner, based on the thoracolumbar perforatiors of the latissimus dorsi. This procedure provides a reliable, well-vascularized soft tissue coverage over the neural repair with minimum donor-site morbidity. Additionally, this method is particularly appropriate to the thoracolumbar area, as it preserves the lateral adjacent regions of the defect, for later alternative and/or reconstructive options.
Sarifakioglu
Nedim
N
Department of Plastic and Reconstructive Surgery, Ankara Hastanesi, Ankara, Turkey.
Bingül
Ferruh
F
Terzioglu
Ahmet
A
Ates
Levent
L
Aslan
Gürcan
G
D005260:Female; D006801:Humans; D007223:Infant; D007738:Kyphosis / Q000601:surgery*; D008591:Meningomyelocele / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014945:Wound Healing