使用各种类型的关键设计穿支岛状皮瓣闭合脊髓脊膜膨出缺损。
Closure of meningomyelocele defects using various types of keystone-design perforator island flaps.
作者信息
Putri Nandita Melati, Tunjung Narottama, Sadikin Patricia Marcellina
机构信息
Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
出版信息
Arch Plast Surg. 2021 May;48(3):261-268. doi: 10.5999/aps.2020.01326. Epub 2021 May 15.
BACKGROUND
Various 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.
METHODS
A retrospective study was performed on 14 patients with meningomyelocele defects closed using various types of keystone flaps.
RESULTS
The 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.
CONCLUSIONS
All 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.
背景
已描述了多种用于闭合大型脊髓脊膜膨出缺损的方法，但尚无技术被证明优于其他技术。本研究介绍了使用关键设计穿支岛状皮瓣闭合脊髓脊膜膨出缺损的病例。
方法
对14例使用各种类型关键皮瓣闭合脊髓脊膜膨出缺损的患者进行了回顾性研究。
结果
患者手术时的中位年龄为10.5天（范围1 - 369天），平均缺损面积为22.5平方厘米（范围7.1 - 55.0平方厘米）。闭合缺损的平均手术时间为89.6分钟（范围45 - 120分钟）。IV型双侧关键皮瓣用于4处缺损，IV型单侧皮瓣用于6处缺损，IIA型皮瓣用于2处缺损，III型皮瓣用于2处缺损。
结论
所有缺损均完全愈合，无重大并发症。关键设计穿支岛状皮瓣是一种可靠、简便且快速的闭合大型脊髓脊膜膨出缺损的技术。
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