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Erschienen in:
20.04.2022 | Original Paper
Add-on extended dorsal intercostal artery perforator/propeller (AOE-DICAP) flaps for the reconstruction of large thoracolumbar myelomeningocele defects
Erschienen in: European Journal of Plastic Surgery | Ausgabe 6/2022
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Background
Reconstruction of large thoracolumbar myelomeningocele defects poses a challenging problem. The classical dorsal intercostal artery perforator flap is increasingly used in the thoracolumbar myelomeningocele–defect reconstruction, and it may not suffice for large defects. We aimed to evaluate the efficacy, reliability and clinical outcomes of the add-on extended dorsal intercostal artery perforator/propeller (AOE-DICAP) flap for the reconstruction of large thoracolumbar myelomeningocele defects.
Methods
Between March 2015 and March 2019, we studied twelve infants (nine females and three males) with large thoracolumbar myelomeningocele defects who were reconstructed with AOE-DICAP flap.
Results
All flaps survived ultimately, except for one patient who had superficial epidermolysis at the distal 0.5 cm of the flap, and it healed well secondarily. One patient had a temporary cerebrospinal fluid leak. The average follow-up was 18.5 months, and the overall complication rate was 16%. There were no flap survival-related complications.
Conclusions
AOE-DICAP flap provides a reliable and stable cover and may be viable for large thoracolumbar myelomeningocele–defect reconstruction.
Level of evidence: Level IV, Therapeutic