Myocutaneous propeller flap based on the superior gluteal artery (SGA) for closure of large lumbosacral meningomyelocoele defects: A case report

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Volker J. Schmidt - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Raymund E. Horch - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Adrian Dragu - , University Center for Orthopedics, Trauma and Plastic Surgery, Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Justus P. Beier - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Ilker Y. Eyüpoglu - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Almut Hirsch - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Ulrich Kneser - , Friedrich-Alexander University Erlangen-Nürnberg (Author)

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.

Details

Original languageEnglish
Pages (from-to)521-524
Number of pages4
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume65
Issue number4
Publication statusPublished - Apr 2012
Peer-reviewedYes

External IDs

PubMed 21873132
ORCID /0000-0003-4633-2695/work/145698769

Keywords

ASJC Scopus subject areas

Keywords

  • Lumbosacral defect, Meningomyelocoele, Myocutaneous propeller flap, Superior gluteal artery