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It is all about form and function: a new approach to giant neonatal sacrococcygeal teratomas

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Giant sacrococcygeal teratomas (GSCTs) involve severe deformation of the buttock region in addition to potential functional impacts. Little interest has been given to improving the aesthetic post-operative appearance in children with these tumours.


We describe a new technique for immediate reconstruction of GSCTs using buried dermal-fat flaps and a low transverse scar in the infragluteal fold.


Our technique allows wide exposure for tumour resection and functional restoration of the pelvic floor while placing the scars in anatomical locations and restoring buttock aesthetics including gluteal projection and infragluteal fold definition.


Reestablishment of function and form should be kept in mind at initial surgery in GSCT surgery to maximize results and enhance post-operative outcomes.

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  1. Shalaby MS, Dorris L, Carachi R (2014) The long-term psychosocial outcomes following excision of sacrococcygeal teratoma: a national study. Arch Dis Child Fetal Neonatal Ed 99:F149-152.

    Article  PubMed  Google Scholar 

  2. Hambraeus M, Hagander L, Arnbjörnsson E, Börjesson A, Stenström P (2020) Health-related quality of life and scar satisfaction in a cohort of children operated on for sacrococcygeal teratoma. Health Qual Life Outcomes 18:102.

    Article  PubMed  PubMed Central  Google Scholar 

  3. AbouZeid AA, Mohamed MH, Dahab MM, GadAllah MA, Zaki AM (2017) Sacrococcygeal teratoma excision: a vertical rather than transverse wound closure. Ann Pediatric Surg 13:207–212.

    Article  Google Scholar 

  4. Handschin AE, Mackowski M, Vogt PM, Peters T (2010) A new technique for gluteal lifting using deepithelialized dermal flaps. Aesth Plast Surg 34:96–99.

    Article  Google Scholar 

  5. Centeno RF (2006) Gluteal aesthetic unit classification: a tool to improve outcomes in body contouring. Aesthetic Surg J 26:200–208.

    Article  CAS  Google Scholar 

  6. Fishman SJ, Jennings RW, Johnson SM, Kim HB (2004) Contouring buttock reconstruction after sacrococcygeal teratoma resection. J Pediatr Surg 39:439–441. (Discussion 439-441)

    Article  PubMed  Google Scholar 

  7. Sozer SO, Agullo FJ, Palladino H (2008) Autologous augmentation gluteoplasty with a dermal fat flap. Aesthetic Surg J 28:70–76.

    Article  CAS  Google Scholar 

  8. Colwell AS, Borud LJ (2007) Autologous gluteal augmentation after massive weight loss: aesthetic analysis and role of the superior gluteal artery perforator flap. Plast Reconstr Surg 119:345–356.

    Article  CAS  PubMed  Google Scholar 

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E.B. and L.C-L wrote the main manuscript text and S.P. prepared figures 1-4. All authors (E.B., S.P., L.C-L, A.A, S.B, R.B, C.P.) reviewed the manuscript.

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Correspondence to Emilie Bougie.

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Bougie, E., Padeanu, S., Plourde, C. et al. It is all about form and function: a new approach to giant neonatal sacrococcygeal teratomas. Pediatr Surg Int 39, 182 (2023).

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