title: Reconstruction of a soft tissue defect of the back after myelomeningocele closure with modified V-Y plasty.
abstract: Myelomeningocele is a congenital defect in vertebral arches with cystic dilatation of meninges and structural or functional abnormality of spinal cord or cauda equina. It is a form of spinal dysraphisam with overlying skin defect (spina bifida aperta). That condition is related to other clinical complications such as infection that can produce furthermore complications. To prevent rate of complications surgical treatment in first 24 h is strongly suggested. In this case report we describe a patient (infant) with congenital myelomeningocele who's defect was treated surgically by the neurosurgeon. In operative procedure plastic surgeon was involved to cover the skin defect remaining after neurosurgical closure of spinal canal. Bilateral advancement local skin flaps were used in soft tissue defect closure. Review of the literature that refers to advancement local skin flaps was carried out.
authors.affiliation: University of Zagreb, Zagreb University Hospital Center, Department of Plastic and Reconstructive Surgery and Breast Surgery, Zagreb, Croatia. veir.zoran@gmail.com
authors.forename: Zoran
authors.initials: Z
authors.lastname: Veir
authors.forename: Mladen
authors.initials: M
authors.lastname: Duduković
authors.forename: Pavle
authors.initials: P
authors.lastname: Miklić
authors.forename: Davor
authors.initials: D
authors.lastname: Mijatović
authors.forename: Bruno
authors.initials: B
authors.lastname: Cvjeticanin
authors.forename: Merica
authors.initials: M
authors.lastname: Veir
authors.forename: Anto
authors.initials: A
authors.lastname: Dujmović
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008591:Meningomyelocele / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps