title: Myocutaneous propeller flap based on the superior gluteal artery (SGA) for closure of large lumbosacral meningomyelocoele defects: a case report.
abstract: 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.
authors.affiliation: Plastisch- und Handchirurgische Klinik, Universitätsklinikum Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany. volker.schmidt@uk-erlangen.de
authors.forename: Volker J
authors.initials: VJ
authors.lastname: Schmidt
authors.forename: Raymund E
authors.initials: RE
authors.lastname: Horch
authors.forename: Adrian
authors.initials: A
authors.lastname: Dragu
authors.forename: Justus P
authors.initials: JP
authors.lastname: Beier
authors.forename: Ilker Y
authors.initials: IY
authors.lastname: Eyüpoglu
authors.forename: Almut
authors.initials: A
authors.lastname: Hirsch
authors.forename: Ulrich
authors.initials: U
authors.lastname: Kneser
mesh_terms: D001158:Arteries; D002675:Child, Preschool; D006801:Humans; D007231:Infant, Newborn; D008161:Lumbosacral Region; D008297:Male; D008591:Meningomyelocele / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*