Department of Plastic and Oral Surgery, Children's Hospital Boston, Harvard Medical School, 300 Longwood Ave., Boston, MA 02115, USA.
J Plast Reconstr Aesthet Surg. 2012 Nov;65(11):1569-72. doi: 10.1016/j.bjps.2012.03.029. Epub 2012 Apr 12.
Myelomeningocele is the most common neural tube defect. Repair typically involves deep closure with regional muscle flaps (e.g. latissimus dorsi, gluteus maximus) and skin closure with rotation, bipedicle, or rhomboid flaps. We describe the reconstruction of large myelomeningocele defects using (1) local fascial turnover flaps with or without paraspinous muscle flaps for deep coverage of the dural repair followed by (2) linear, midline skin closure.
脊髓脊膜膨出是最常见的神经管缺陷。修复通常包括深部闭合和区域性肌肉皮瓣（如背阔肌、臀大肌），以及旋转、双蒂或菱形皮瓣的皮肤闭合。我们描述了使用（1）局部筋膜翻转皮瓣，或联合脊柱旁肌肉皮瓣，对硬脑膜修复进行深部覆盖，然后（2）进行直线、中线皮肤闭合，来重建大型脊髓脊膜膨出缺损。
