Closure of Giant Dorsal Lumbosacral Myelomeningocele in Children Using Double Expanded Flaps: A Case Report and Literature Review.
| Autor: | Chen X; Department of Burns and Plastic Surgery, Children's Hospital of Nanjing Medical University., Shen W; Department of Burns and Plastic Surgery, Children's Hospital of Nanjing Medical University., Han T; Department of Burns and Plastic Surgery, Children's Hospital of Nanjing Medical University., He J; Department of Neurosurgery, Children's Hospital of Nanjing Medical University, Nanjing, China., Cui J; Department of Burns and Plastic Surgery, Children's Hospital of Nanjing Medical University. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of craniofacial surgery [J Craniofac Surg] 2023 Oct 01; Vol. 34 (7), pp. e703-e706. Date of Electronic Publication: 2023 Aug 30. |
| DOI: | 10.1097/SCS.0000000000009687 |
| Abstrakt: | Introduction: Myelomeningocele (MMC) is the most common neural tube defect that can occur due to neural tube's failure to fuse properly during embryonic life. To prevent this, expanded flaps can be used for closure of large MMCs. Presentation of Case: A 4-year and 6-month girl was diagnosed with multiple congenital anomalies including hydrocephalus, dorsal lumbosacral MMC, and congenital tethered cord syndrome. Preoperative evaluation showed no lower limb movements and the size of the sacrococcygeal region was about 10 cm × 8 cm × 15 cm mass, prominent thoracic kyphosis, and no obvious urogenital or limb anomalies. The large dorsal lumbosacral MMC was treated with a double expanded flap to reconstruct, the soft tissue defect following the neurosurgical reconstruction. Discussion: The expanded flap was deemed as viable as all wounds were healed without any complications, such as dehiscence, leakage of cerebrospinal fluid, or infection. The technique described in the case report offers an effective method of closure. Conclusion: This flap can be an effective method for reconstruction of large dorsal lumbosacral MMC defects that might improve outcomes and minimize complications. It also ensures minimal wound tension and breakdown. Competing Interests: The authors report no conflicts of interest. (Copyright © 2023 by Mutaz B. Habal, MD.) |
| Databáze: | MEDLINE |
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