Michael S Golinko1, Kumar Patel2, Rong Cai3, Aaron Smith2, Eylem Ocal3. 1. Division of Plastic Surgery, Department of Surgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, 1 Children's Way, Little Rock, AR, 72202, USA. msgolinko@uams.edu. 2. Division of Plastic Surgery, Department of Surgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, 1 Children's Way, Little Rock, AR, 72202, USA. 3. Department of Neurosurgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, 1 Children's Way, Little Rock, AR, 72202, USA.
Abstract
PURPOSE: The study aims to demonstrate proof of principle of a common plastic surgery technique of deepithelialization for repair of large myelomeningoceles (MMCs). Whereas repair typically consists of a watertight dural closure followed by a muscle or fasciocutaeneous layer, excess skin, however, need not be discarded and can be deepithelialized to augment or, in selective cases, replace the muscle repair. METHODS: The study was performed through a retrospective chart review of two patients. RESULTS: Step-by-step figures illustrate the technique. Two patients each born with large MMCs measuring 10 × 11 cm and 6 × 9 cm, respectively, were reviewed. Excess skin was deepithelialized to create an additional layer of vascularized tissue over the muscle repair. There were no post-operative complications at 3-month follow-up. CONCLUSIONS: In large MMCs with excess skin, the use of a deepithelialized skin flap can potentially be an alternative or adjunct to a muscle flap to buttress the dural repair.
PURPOSE: The study aims to demonstrate proof of principle of a common plastic surgery technique of deepithelialization for repair of large myelomeningoceles (MMCs). Whereas repair typically consists of a watertight dural closure followed by a muscle or fasciocutaeneous layer, excess skin, however, need not be discarded and can be deepithelialized to augment or, in selective cases, replace the muscle repair. METHODS: The study was performed through a retrospective chart review of two patients. RESULTS: Step-by-step figures illustrate the technique. Two patients each born with large MMCs measuring 10 × 11 cm and 6 × 9 cm, respectively, were reviewed. Excess skin was deepithelialized to create an additional layer of vascularized tissue over the muscle repair. There were no post-operative complications at 3-month follow-up. CONCLUSIONS: In large MMCs with excess skin, the use of a deepithelialized skin flap can potentially be an alternative or adjunct to a muscle flap to buttress the dural repair.
Authors: Samuel C Lien; Cormac O Maher; Hugh J L Garton; Steven J Kasten; Karin M Muraszko; Steven R Buchman Journal: Childs Nerv Syst Date: 2010-03-02 Impact factor: 1.475
Authors: Babak Khoshnood; Maria Loane; Hermien de Walle; Larraitz Arriola; Marie-Claude Addor; Ingeborg Barisic; Judit Beres; Fabrizio Bianchi; Carlos Dias; Elizabeth Draper; Ester Garne; Miriam Gatt; Martin Haeusler; Kari Klungsoyr; Anna Latos-Bielenska; Catherine Lynch; Bob McDonnell; Vera Nelen; Amanda J Neville; Mary T O'Mahony; Annette Queisser-Luft; Judith Rankin; Anke Rissmann; Annukka Ritvanen; Catherine Rounding; Antonin Sipek; David Tucker; Christine Verellen-Dumoulin; Diana Wellesley; Helen Dolk Journal: BMJ Date: 2015-11-24