ArticleArchives of plastic surgery2021
Closure of meningomyelocele defects using various types of keystone-design perforator island flaps.
Article in Archives of plastic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Myelomeningocele closure: A review and decision-making guidance.JPRAS open · 2025Review
- Comparative analysis of bipedicled fasciocutaneous flaps in meningomyelocele repair: influence of perforator preservation on postoperative outcomes and hospitalization duration.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Long-term follow-up of keystone perforator island flap in reconstructed myelomeningocele defects.JPRAS open · 2023Article
- Combining a Bilateral Bipedicle Flap and Artificial Dermis for Extensive Coverage in Meningomyelocele Surgery.Cureus · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
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Abstract
backgroundVarious methods have been described to close large meningomyelocele defects, but no technique has been proven superior to others. This study presents cases of meningomyelocele defect closure with a keystone-design perforator island flap.
methodsA retrospective study was performed on 14 patients with meningomyelocele defects closed using various types of keystone flaps.
resultsThe median age of the patients at surgery was 10.5 days (range, 1-369 days) and the average defect size was 22.5 cm2 (range, 7.1-55.0 cm2). The average operative time for defect closure was 89.6 minutes (range, 45-120 minutes). Type IV bilateral keystone flaps were used for four defects, type IV unilateral flaps for six defects, type IIA flaps for two defects, and type III flaps for two defects.
conclusionsAll the defects healed completely with no major complications. The keystone-design perforator island flap is a reliable, easy, and fast technique to close large meningomyelocele defects.
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