Abstract
Four children and one adult with large myelomeningocele defects underwent operations for the repair of soft tissue defects. The tissue expansion technique was used. The silicone tissue expanders were inserted on one side or both sides of the lesion and inflated weekly by saline injections. The expanded skin and subcutaneous tissue allowed easy midline closure of the defects. The results were very satisfactory.
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Argenta LC, Marks MW, Pasyk KA (1985) Advanges in tissue expansion. Clin Plast Surg 12:159
Argenta LC (1984) Controlled tissue expansion in reconstructive surgery. Br J Plast Surg 37:520
Austad ED (1987) Complications in tissue expansion. Clin Plast Surg 14:549
Bajaj PS, Welsh F, Shadid EA (1979) Versatility of lumbar transposition flaps in the closure of meningomyelocele skin defects. Ann Plast Surg 2:103
Cruz NI, Ariyan S, Duncan CC, Cuono CB (1983) Repair of lumbosacral myelomeningoceles with double Z-rhomboid flaps. J Neurosurg 59:714
Davies D, Adendorff DJ (1977) A large rotation flap raised across the midline to close lumbo-sacral meningomyelocoeles. Br J Plast Surg 30:166
Desprez JD, Kiehn CL, Eckstein NW (1971) Closure of large meningomyelocele defects by composite skin muscle flaps. Plast Reconstr Surg 47:234
Frykberg T, Olsen L (1990) Tissue expansion facilitates operation of large myelomeningoceles. Z Kinderchir 45:242
Habal MB, Vries JK (1977) Tension-free closure of large meningomyelocele defects. Surg Neurol 8:177
Hill HL, Brown RG, Jurkiewicz MJ (1978) The transverse lumbosacral back flap. Plast Reconstr Surg 62:172
Luce EA, Walsh J (1985) Wound closure of the myelomeningocoele defect. Plast Reconstr Surg 75:389
Manders EA, Schenden MMJ, Furrey JA, Hetzler PT, Davis TS, Graham WP (1984) Soft tissue expansion: concepts and complications. Plast Reconstr Surg 74:493
McCraw JB, Penix JO, Baker JW (1978) Repair of major defects of the chest and spine with the latissimus dorsi myocutaneous flap. Plast Reconstr Surg 62:197
McDevitt NB, Gillespie RP, Woosley RE et al. (1982) Closure of thoracic and lumbar dysgraphic defects using bilateral latissimus dorsi myocutaneous flap transfer with extended gluteal fasciocutaneous flap. Child's Brain 9:394
Mclone DC, Dias MS (1991) Complications of myelomeningocele closure. Pediatr Neurosurg 17:267
Moore TS, Dreyer TM, Bevin AG (1984) Closure of large spina bifida cystica: Defects with bilateral bipedicled musculocutaneous flaps. Plast Reconstr Surg 73:288
Munro IR, Neu BR, Humphrey RP, Lautitzen CG (1983) Limberg latissimus dorsi myocutaneous flap for closure of myelomeningocele. Child's Brain 10:381
Mustoe T, Gifford G, Leach E (1988) Rapid tissue expansion in the treatment of myelomeningocele. Ann Plast Surg 21:70
Ohtsuka H, Shioya N, Yada K (1979) Modified Limberg flap for lumbosacral meningomyeloceles. Ann Plast Surg 3:114
Okamoto GA, Lamers JV Shurtleff DB (1983) Skin breakdown in patients with myelomeningocele. Arch Phys Med Rehabil 64:20
Ramirez OM, Ramasastry SS, Granick MS, Pang D, Futrell JW (1987) A new surgical approach to closure of large lumbosacral meningomyelocele defects. Plast Reconstr Surg 80:6.801
Scheflan M, Mehrhof AI, Ward JD (1984) Meningomyelocele closure with distally based latissimus dorsi flaps. Plast Reconstr Surg 73:956
Stevenson TR, Rohrich RJ, Pollock RA, Dingman RO, Bostwick J (1984) More experience with the “reverse” latissimus dorsi musculocutaneous flap: Precise location of blood supply. Plast Reconstr Surg 74:237
Vander Kolk CA, Adson MH, Stevenson TR (1988) The reverse latissimus dorsi muscle flap for closure of meningomyelocele. Plast Reconstr Surg 81:454–456
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Celiköz, B., Türegün, M. & Sengezer, M. The repair of myelomeningocele with tissue expanders. Eur J Plast Surg 19, 297–299 (1996). https://doi.org/10.1007/BF00180322
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DOI: https://doi.org/10.1007/BF00180322