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Journals / Turkish Neurosurgery / 2019 / Cilt: 29 - Sayı: 1

Comparison of Dorsal Intercostal Artery Perforator Propeller Flaps and Bilateral Rotation Flaps in Reconstruction of Myelomeningocele Defects

Göktekin TENEKECİ
Yavuz BAŞTERZİ
Şakir ÜNAL
Alper SARI
Yavuz DEMİR
CELAL BAĞDATOĞLU
BAHAR TAŞDELEN
Pages
83–89
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Nonetheless, we suggest using DICAP propeller flaps for reconstruction of largemyelomeningocele defects.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: To compare the complications and surgical outcomes between bilateral rotation flaps and dorsal intercostal artery perforator(DICAP) flaps in the soft tissue reconstruction of myelomeningocele defects.MATERIAL and METHODS: Between January 2005 and February 2017, we studied 47 patients who underwent reconstruction ofmyelomeningocele defects.
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Key Findings & Data:Patient demographics, operative data, and postoperative data were reviewed retrospectively and areincluded in the study.RESULTS: We found no statistically significant differences in patient demographics and surgical complications between these twogroups; this may be due to small sample size.
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Conclusion & Impact:Nonetheless, we suggest using DICAP propeller flaps for reconstruction of largemyelomeningocele defects.
🔬Design:Review & Systematic Survey
📍Scope:2005 Verileri
⚙️Variables:Domain Parameters

Özet

AIM: To compare the complications and surgical outcomes between bilateral rotation flaps and dorsal intercostal artery perforator(DICAP) flaps in the soft tissue reconstruction of myelomeningocele defects.MATERIAL and METHODS: Between January 2005 and February 2017, we studied 47 patients who underwent reconstruction ofmyelomeningocele defects. Patient demographics, operative data, and postoperative data were reviewed retrospectively and areincluded in the study.RESULTS: We found no statistically significant differences in patient demographics and surgical complications between these twogroups; this may be due to small sample size. With regard to complications—partial flap necrosis, cerebrospinal fluid (CSF) leakage,necessity for reoperation, and wound infection—DICAP propeller flaps were clinically superior to rotation flaps. Partial flap necrosiswas associated with CSF leakage and wound infection, and CSF leakage was associated with wound dehiscence.CONCLUSION: Although surgical outcomes obtained with DICAP propeller flaps were clinically superior to those obtained withrotation flaps, there was no statistically significant difference between the two patient groups. A well-designed comparativestudy with adequate sample size is needed. Nonetheless, we suggest using DICAP propeller flaps for reconstruction of largemyelomeningocele defects.

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Cite This Article

TENEKECİ, G., BAŞTERZİ, Y., ÜNAL, Ş., SARI, A., DEMİR, Y., BAĞDATOĞLU, C., TAŞDELEN, B. (2019). Comparison of Dorsal Intercostal Artery Perforator Propeller Flaps and Bilateral Rotation Flaps in Reconstruction of Myelomeningocele Defects. Turkish Neurosurgery, Cilt: 29 - Sayı: 1, 83–89. https://ajindex.com/articles/404415

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References (1)

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