title: Closure of large myelomeningocele defects using dorsal intercostal artery perforator flap.
abstract: Small meningomylocele defects can be closed primarily. Other repair techniques are required for closure of meningomyelocele defects of >5 cm. In this anomaly, in which random or musculocutaneous flaps are usually used, the technique for skin defect closure should have the following criteria: a safely harvested flap with good blood supply; minimal morbidity in the donor site; closure with adequate thickness to protect the underlying neural structure; and a repair to prevent leakage of cerebrospinal fluid. The dorsal intercostal artery perforator flap is a new perforator flap with a large skin island that can be used safely in the dorsal region. In this article, repair of large skin defects due to myelomeningocele has been attempted using a dorsal intercostal artery perforator flap, and the results are discussed.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Medical School of Yuzuncu Yil University, Van, Turkey. daghanmd@yahoo.co.uk
authors.forename: Daghan
authors.initials: D
authors.lastname: Isik
authors.forename: Lutfi
authors.initials: L
authors.lastname: Tekes
authors.forename: Metehan
authors.initials: M
authors.lastname: Eseoglu
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Isik
authors.forename: Salim
authors.initials: S
authors.lastname: Bilici
authors.forename: Bekir
authors.initials: B
authors.lastname: Atik
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008591:Meningomyelocele / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome