Meningomyelocele Reconstruction: Comparison of Repair Methods via Systematic Review.

Autor:	Leach GA; Department of Surgery, Division of Plastic Surgery, University of California San Diego, San Diego, CA., Pflibsen LR; Department of Surgery, Division of Plastic Surgery, Mayo Clinic Arizona, Phoenix, AZ., Roberts AD; Kansas City University School of Medicine, Kansas City, MO., O'Connor MJ; Creighton University School of Medicine., Bristol RE; Division of Neurosurgery, Barrow Neurological Institute, Phoenix Children's Hospital., Mabee MK; Division of Plastic Surgery, Phoenix Children's Hospital., Almader-Douglas D; Department of Health Sciences Research, Division of Biomedical Statistics and Informatics, Mayo Clinic Arizona, Phoenix, AZ., Schaub TA; Department of Surgery, Division of Plastic Surgery, Mayo Clinic Arizona, Phoenix, AZ.; Division of Plastic Surgery, Phoenix Children's Hospital.
Jazyk:	angličtina
Zdroj:	The Journal of craniofacial surgery [J Craniofac Surg] 2023 Oct 01; Vol. 34 (7), pp. 2040-2045. Date of Electronic Publication: 2023 Aug 25.
DOI:	10.1097/SCS.0000000000009675
Abstrakt:	Purpose: The purpose of this article was to appraise the various methods of reconstruction for meningomyelocele (MMC) defects. Methods: A systematic review of the literature was performed to evaluate all reconstructions for MMC. The method of reconstruction was categorized by: primary closure with and without fascial flaps, random pattern flaps, VY advancement flaps (VY), perforator flaps, and myocutaneous flaps. Perforator flaps were subsequently subcategorized based on the type of flap. Results: Upon systematic review, 567 articles were screened with 104 articles assessed for eligibility. Twenty-nine articles were further reviewed and included for qualitative synthesis. Two hundred seventy patients underwent MMC repair. The lowest rates of major wound complications (MWC) were associated with myocutaneous and random pattern flaps. A majority of MWC was in the lumbrosacral/sacral region (87.5% of MWC). In this region, random patterns and perforator flaps demonstrated the lowest rate of MWC (4.5, 8.1%). Conclusions: Plastic surgery consultation should be strongly considered for MMC with defects in the lumbosacral/sacral region. Perforator flaps are excellent options for the reconstruction of these defects. Competing Interests: The authors report no conflicts of interest. (Copyright © 2023 by Mutaz B. Habal, MD.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu