title: Myofascial Closure of Intradural Inclusion Cysts following in utero Myelomeningocele Repair.
abstract: Myelomeningocele is one of the most common congenital malformations. A randomized controlled trial, known as the Management of Myelomeningocele Study (MOMS), demonstrated that closure during the fetal period can be performed relatively safely and be of significant benefit to patients. However, postnatally, patients can develop resultant symptoms from a tethered cord and inclusion cysts; this often requires surgical treatment. Repeat surgery in this population can be challenging due to the age of the patients, the extent of surgical exposure needed and the need for resection of dermal and epidermal tissues in the midline. We describe our approach for closure of these complex defects using lateral fasciocutaneous flaps with relaxing incisions made in the posterior axillary line, in order to minimize tension and maximize soft tissue coverage of the midline.
authors.forename: Jayesh P
authors.initials: JP
authors.lastname: Thawani
authors.forename: Nikhil R
authors.initials: NR
authors.lastname: Nayak
authors.forename: Jared M
authors.initials: JM
authors.lastname: Pisapia
authors.forename: Youssef
authors.initials: Y
authors.lastname: Tahiri
authors.forename: Jennifer
authors.initials: J
authors.lastname: Gebbia
authors.forename: N Scott
authors.initials: NS
authors.lastname: Adzick
authors.forename: Leslie N
authors.initials: LN
authors.lastname: Sutton
authors.forename: Jesse A
authors.initials: JA
authors.lastname: Taylor
authors.forename: Gregory G
authors.initials: GG
authors.lastname: Heuer
mesh_terms: D003884:Dermoid Cyst / Q000209:etiology / Q000601:surgery*; D004814:Epidermal Cyst / Q000209:etiology / Q000601:surgery*; D005260:Female; D005315:Fetal Diseases / Q000601:surgery*; D046128:Fetal Therapies / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007223:Infant; D007796:Laminectomy; D008161:Lumbosacral Region / Q000473:pathology / Q000601:surgery; D008591:Meningomyelocele / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods*; D064170:Paraspinal Muscles / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D011247:Pregnancy; D013120:Spinal Cord Neoplasms / Q000209:etiology / Q000601:surgery*