Veir Zoran, Duduković Mladen, Miklić Pavle, Mijatović Davor, Cvjeticanin Bruno, Veir Merica, Dujmović Anto
University of Zagreb, Zagreb University Hospital Center, Department of Plastic and Reconstructive Surgery and Breast Surgery, Zagreb, Croatia.
Coll Antropol. 2011 Dec;35(4):1295-8.
Myelomeningocele is a congenital defect in vertebral arches with cystic dilatation of meninges and structural or functional abnormality of spinal cord or cauda equina. It is a form of spinal dysraphisam with overlying skin defect (spina bifida aperta). That condition is related to other clinical complications such as infection that can produce furthermore complications. To prevent rate of complications surgical treatment in first 24 h is strongly suggested. In this case report we describe a patient (infant) with congenital myelomeningocele who's defect was treated surgically by the neurosurgeon. In operative procedure plastic surgeon was involved to cover the skin defect remaining after neurosurgical closure of spinal canal. Bilateral advancement local skin flaps were used in soft tissue defect closure. Review of the literature that refers to advancement local skin flaps was carried out.
脊髓脊膜膨出是一种椎弓先天性缺陷，伴有脑膜囊性扩张以及脊髓或马尾神经的结构或功能异常。它是脊柱裂的一种形式，伴有覆盖皮肤缺损（开放性脊柱裂）。这种情况与其他临床并发症有关，如感染，而感染会进一步引发并发症。强烈建议在出生后24小时内进行手术治疗以预防并发症发生率。在本病例报告中，我们描述了一名患有先天性脊髓脊膜膨出的患者（婴儿），其缺损由神经外科医生进行了手术治疗。在手术过程中，整形外科医生参与覆盖了神经外科关闭椎管后残留的皮肤缺损。双侧推进局部皮瓣用于软组织缺损的闭合。我们还对有关推进局部皮瓣的文献进行了综述。
