KaydedilenlerDerginizi ekleyin

Dergiler / Acta Orthopaedica et Traumatologica Turcica / 2015 / Cilt: 49 - Sayı: 5

Omentum and reverse turnover latissimus dorsi musculocutaneous flap for the treatment of cerebrospinal fluid fistula

Yetkin SÖYÜNCÜ
ZEKİYE BİGAT
İlkay SÖYÜNCÜ
Ömer ÖZKAN
Sayfa
571–575
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Although this is a case presentation, we can say that the combination of the omental and musculocutaneous flaps allow effective treatment and prevention of CSF fistulas in selected high-risk patients and provide durable coverage of complex spinal wounds

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Conventional procedures can usually prevent cerebrospinal fluid (CSF) leakages, but they may not work for complicated cases.
📊
Temel Bulgular & Veri:In this case presentation, we demonstrated the effectiveness of combined omental and latissimus dorsi musculocutaneous flaps for management of difficult CSF fistula.
💡
Sonuç & Katkı:Although this is a case presentation, we can say that the combination of the omental and musculocutaneous flaps allow effective treatment and prevention of CSF fistulas in selected high-risk patients and provide durable coverage of complex spinal wounds
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Conventional procedures can usually prevent cerebrospinal fluid (CSF) leakages, but they may not work for complicated cases. In this case presentation, we demonstrated the effectiveness of combined omental and latissimus dorsi musculocutaneous flaps for management of difficult CSF fistula. A re- verse turnover latissimus dorsi musculocutaneous flap and omental flap were transferred for recon- struction of the posterior wound and CSF leakage. The omental flap component was used for CSF absorption, and the latissimus dorsi muscle component was used for obliteration of the dead space, covering of the exposed bone, and tension-free closure of the wound. The wound healed dramatically, with no observed severe donor site morbidity. The patient has been followed for 30 months with no evidence of CSF leakage and no pseudomeningocele formation, which was confirmed by magnetic resonance imaging (MRI). Although this is a case presentation, we can say that the combination of the omental and musculocutaneous flaps allow effective treatment and prevention of CSF fistulas in selected high-risk patients and provide durable coverage of complex spinal wounds

🔖

Bu Makaleye Atıf Yap

SÖYÜNCÜ, Y., BİGAT, Z., SÖYÜNCÜ, İ., ÖZKAN, Ö. (2015). Omentum and reverse turnover latissimus dorsi musculocutaneous flap for the treatment of cerebrospinal fluid fistula. Acta Orthopaedica et Traumatologica Turcica, Cilt: 49 - Sayı: 5, 571–575. https://ajindex.com/articles/353560

Kaynakça (12)

  1. Riew KD, Khanna N. Treatment of cerebrospinal fluid leaks. In: Vaccaro AR, Betz RR, Zeidman SM, editors. Principles and practice of spine surgery. Philadelphia,USA: Mosby; 2003. p. 735-43.
  2. Pomeranz S, Constantini S, Umansky F. The use of fibrin sealant in cerebrospinal fluid leakage. Neurochirurgia (Stuttg) 1991;34:166-9.
  3. Jankowitz BT, Atteberry DS, Gerszten PC, Karausky P, Cheng BC, Faught R, et al. Effect of fibrin glue on the prevention of persistent cerebral spinal fluid leakage after incidental durotomy during lumbar spinal surgery. Eur Spine J 2009;18:1169-74.
  4. Hochberg J, Ardenghy M, Yuen J, Gonzalez-Cruz R, Mi- ura Y, Conrado RM, et al. Muscle and musculocutaneous flap coverage of exposed spinal fusion devices. Plast Re- constr Surg 1998;102:385-92. de Fontaine S, Gaede F, Berthe JV. The reverse turnover latissimus dorsi flap for closure of midline lumbar defects. J Plast Reconstr Aesthet Surg 2008;61:917-24.
  5. Meiners T, Flieger R, Jungclaus M. Use of the reverse la- tissimus muscle flap for closure of complex back wounds in patients with spinal cord injury. Spine (Phila Pa 1976) 2003;28:1893-8.
  6. Dumanian GA, Ondra SL, Liu J, Schafer MF, Chao JD. Muscle flap salvage of spine wounds with soft tissue defects or infection. Spine (Phila Pa 1976) 2003;28:1203-11.
  7. Abuzayed B, Kafadar AM, Oğuzoğlu SA, Canbaz B, Kaynar MY. Duraplasty using autologous fascia lata re- enforced by on-site pedicled muscle flap: technical note. J Craniofac Surg 2009;20:435-8.
  8. Saint-Cyr M, Nikolis A, Moumdjian R, Frenette G, Cia- burro H, Harris PG, et al. Paraspinous muscle flaps for the treatment and prevention of cerebrospinal fluid fistulas in neurosurgery. Spine (Phila Pa 1976) 2003;28:86-92.
  9. Chun JK, Lynch MJ, Poultsides GA. Distal trapezius musculocutaneous flap for upper thoracic back wounds associated with spinal instrumentation and radiation. Ann Plast Surg 2003;51:17-22.
  10. Vitaz TW, Oishi M, Welch WC, Gerszten PC, Disa JJ, Bilsky MH. Rotational and transpositional flaps for the treatment of spinal wound dehiscence and infections in patient populations with degenerative and oncological dis- ease. J Neurosurg 2004;100(1 Suppl Spine):46-51.
  11. Azizkhan RG, Roberson JB Jr, Powers SK. Successful use of a vascularized intercostal muscle flap to seal a persistent intrapleural cerebrospinal fluid leak in a child. J Pediatr Surg 1991;26:744-6.
  12. Weber SM, Kim J, Delashaw JB, Wax MK. Radial forearm free tissue transfer in the management of persistent cere- brospinal fluid leaks. Laryngos