Our Clinical Algorithmic Approach for Meningomyelocele Defects Reconstruction with Fasciocutaneous Flaps

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dc.authoridAlgan, Mehmet Fatih/0000-0002-7192-4695
dc.contributor.authorAlgan, Mehmet Fatih
dc.contributor.authorFirat, Cemal
dc.contributor.authorBekircan, Kagan
dc.contributor.authorKilinc, Hidir
dc.contributor.authorOnal, Selami Cagatay
dc.date.accessioned2024-08-04T20:50:52Z
dc.date.available2024-08-04T20:50:52Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAIM: To evaluate fasciocutaneous flaps used for reconstruction of meningomyelocele defects in our clinic and to suggest an algorithm for flap selection. MATERIAL and METHODS: A retrospective analysis of 45 patients with meningomyelocele, who underwent repair with fasciocutaneous flaps, was carried out. Preoperative and postoperative photos were analyzed. The defect areas were measured by Adobe Photoshop CC. Limberg flap, bilateral Limberg flaps, bilateral bipedicled advancement flaps, bilobed flap and reading man flap were performed. RESULTS: Wound dehiscence and partial necrosis occurred in 8 patients. All wounds were managed conservatively and healed successfully. No other complications were observed. The mean defect size for all patients was 36 cm(2). The mean defect size was 45.3 cm(2) in bilateral bipedicled flaps cases; 33.5 cm(2) in bilateral Limberg flaps cases; and 19.6 cm(2) in the unilateral Limberg flap cases. According to the algorithm, a unilateral Limberg flap or bilobed flap or reading man flap can be used for the defects smaller than 25 cm(2); bilateral Limberg flaps can be used for the defects between 25 and 35 cm(2); and bilateral bipedicled advancement flaps can be used for the defects larger than 35 cm(2). CONCLUSION: Fasciocutaneous flaps can be preferred in meningomyelocele defect reconstruction due to the easy planning of flaps, easy and fast flap elevation, and low complication rates due to their reliable circulation. The measurement of the defect area allows this algorithm selecting a flap in a more practical way.en_US
dc.identifier.doi10.5137/1019-5149.JTN.32924-20.3
dc.identifier.endpage951en_US
dc.identifier.issn1019-5149
dc.identifier.issue6en_US
dc.identifier.pmid34664692en_US
dc.identifier.scopus2-s2.0-85120037263en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage944en_US
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.32924-20.3
dc.identifier.urihttps://hdl.handle.net/11616/100329
dc.identifier.volume31en_US
dc.identifier.wosWOS:000726794300017en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Socen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMeningomyeloceleen_US
dc.subjectFasciocutaneous flapen_US
dc.subjectBipedicled advancementen_US
dc.subjectLimberg flapen_US
dc.subjectBilobed flapen_US
dc.titleOur Clinical Algorithmic Approach for Meningomyelocele Defects Reconstruction with Fasciocutaneous Flapsen_US
dc.typeArticleen_US

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