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      Bilateral propeller flap closure of large meningomyelocele defects.

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          Abstract

          Meningomyelocele is a defect of the spinal cord, vertebral spine, and overlying skin and is the most common form of spinal dysraphism. Multiple methods of soft tissue closure for larger myelomeningocele defects have been described, including skin grafting, random fasciocutaneous flaps, skin undermining with relaxing incisions, and musculocutaneous flaps. Most current methods for closure of defects of 8 cm and greater and kyphotic spines usually remains inadequate. In this study, we present our clinical experience with a new surgical procedure, bilateral propeller (BP) flaps based on dorsal intercostal and lumbar artery perforator, for the closure of large thoracolumbar meningomyelocele defects.

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          Author and article information

          Journal
          Ann Plast Surg
          Annals of plastic surgery
          Ovid Technologies (Wolters Kluwer Health)
          1536-3708
          0148-7043
          Jul 2014
          : 73
          : 1
          Affiliations
          [1 ] From the *Medical Faculty, Department of Plastic and Reconstructive Surgery, Baskent University, Adana; †Medical Faculty, Department of Plastic and Reconstructive Surgery, Baskent University, Ankara; and ‡Medical Faculty, Department of Pediatric Surgery, Cukurova University, Adana, Turkey.
          Article
          00000637-201407000-00016
          10.1097/SAP.0b013e31826caf5a
          24918736

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