Paravertebral turnover flaps for closure of large spinal defects following tethered cord repair.

Abstract:

:Reconstruction of large congenital spinal defects remains a challenge. We present our experience in closure of difficult spinal defects following repair of tethered cord, using paravertebral fascial or myofascial turnover flaps. Between 1996 and 2005, 23 patients were operated using paravertebral turnover flaps for closure of large spinal defects associated with tethered cord. Fifteen (65%) patients had lipomyelomeningoceles. Eleven (48%) patients had sacral defects, 10 (43%) had lumbosacral defects, and 2 (9%) had lumbar defects. Fourteen (61%) patients underwent closure using fascial turnover flaps. Myofascial turnover flaps were used in 9 (39%) patients. Following surgery, none of the patients developed cerebrospinal fluid (CSF) leaks, pseudomeningoceles, or subcutaneous infection. One patient suffered superficial necrosis and infection of the skin suture line, which healed secondarily. We conclude that fascial or myofascial paravertebral turnover flaps provide reliable coverage of difficult defects of the spinal CNS.

journal_name

Ann Plast Surg

authors

Arad E,Barnea Y,Gur E,Amir A,Leshem D,Zaretski A,Rochkind S,Beny L,Constantini S,Weiss J

doi

10.1097/01.sap.0000235424.26158.e5

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

642-5

issue

6

eissn

0148-7043

issn

1536-3708

pii

00000637-200612000-00010

journal_volume

57

pub_type

杂志文章
  • Short-term application of doxorubicin chemotherapy immunosuppressive side effects for composite tissue allotransplantation.

    abstract:BACKGROUND:Adjuvant chemotherapy is often required for the treatment of bone cancers after tumor resection, which often results in a large continuity defect. The immunosuppressive side effects could instead be exploited to allow immediate reconstruction with a composite tissue allograft (CTA) that would provide for rep...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3182467f7b

    authors: Hui-Chou HG,Olenczak JB,Drachenberg CB,Shea SM,Rodriguez ED

    更新日期:2012-02-01 00:00:00

  • Complications associated with breast reconstruction using a perforator flap compared with a free TRAM flap.

    abstract::This study evaluated the recipient and donor site complications associated with breast reconstruction using a deep inferior epigastric artery perforator flap (DIEAP) flap compared with a free TRAM flap. The charts of 108 patients who underwent breast reconstruction using these techniques were reviewed. There were 130 ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000201549.83738.42

    authors: Scheer AS,Novak CB,Neligan PC,Lipa JE

    更新日期:2006-04-01 00:00:00

  • Localization of the arcuate line from surface anatomic landmarks: a cadaveric study.

    abstract::The arcuate line is a relevant structure when reconstructing the abdominal wall after rectus abdominis musculocutaneous flap harvest. Its location is classically taught to be half the distance from the pubic symphysis to the umbilicus, but recent anatomic literature provides evidence to the contrary. Better understand...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000112285.44287.21

    authors: Cunningham SC,Rosson GD,Lee RH,Williams JZ,Lustman CA,Slezak S,Goldberg NH,Silverman RP

    更新日期:2004-08-01 00:00:00

  • The role of cutaneous lymphoscintigraphy in determining regional lymph node drainage of truncal melanomas.

    abstract::In the absence of clinically positive regional nodes, any value of prophylactic dissection in malignant melanomas depends on accurate preoperative determination of the pathway of lymphatic drainage. We report on the use of noninvasive radionuclide lymphoscintigraphy in the determination of regional patterns of lymph n...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Fisher EB,Lewis VL Jr,Griffith BH,Spies W

    更新日期:1992-06-01 00:00:00

  • Congenital absence of the vagina: diagnosis and plastic surgical reconstruction.

    abstract::Congenital absence of the vagina was repaired in twenty patients; the longest follow-up was seventeen years. The surgical method is described, including the skin graft, the sculpted prosthesis, and the mechanic's waste bolus for retention. The patient must be oriented thoroughly before the operation. Even with an opti...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-197807000-00004

    authors: Lamont E

    更新日期:1978-07-01 00:00:00

  • Distally based perforator medial plantar flap: a new flap for reconstruction of plantar forefoot defects.

    abstract::In this article the author describes 2 cases of a distally based perforator medial plantar flap that were transferred successfully from the nonweight-bearing instep region to the weight-bearing plantar forefoot (defects, 8 x 5 cm and 6 x 5 cm respectively). This flap is nourished solely by perforators of the medial pl...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000112287.56354.f8

    authors: Coruh A

    更新日期:2004-10-01 00:00:00

  • The safety of and indications for immediate reconstruction of head and neck melanoma defects: our early experience.

    abstract::Melanoma excision requires wide margins, leaving large defects. Surgical dogma has taught that definitive reconstruction of melanoma defects be performed after permanent pathology results, with skin grafts favored. However, this results in an open wound and the need for a second operation. The advantages of immediate ...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/SAP.0000000000000166

    authors: Parrett BM,Kashani-Sabet M,Leong SP,Buncke N,Singer MI

    更新日期:2014-05-01 00:00:00

  • Analysis of Aesthetic Outcomes and Patient Satisfaction After Delayed-Immediate Autologous Breast Reconstruction.

    abstract:BACKGROUND:Patients with breast cancer frequently opt to undergo breast reconstruction after mastectomy. The timing and aesthetic outcome of the breast reconstruction may be affected by the need for radiation therapy (RT). Delayed-immediate autologous reconstruction (DIAR) is a novel surgical approach for patients in w...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001418

    authors: Huis in 't Veld EA,Long C,Sue GR,Chattopadhyay A,Lee GK

    更新日期:2018-05-01 00:00:00

  • Tensor fascia lata myocutaneous flap in lower abdominal wall reconstruction.

    abstract::The tensor fascia lata myocutaneous flap provides a reliable autogenous building block for anatomical lower abdominal wall reconstruction. Preservation of innervation allows maintenance of voluntary motor control and protective sensation. The excellent blood supply of this flap is particularly helpful in reconstructin...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198108000-00014

    authors: White DN,Pearl RM,Laub DR,DeFiebre BK

    更新日期:1981-08-01 00:00:00

  • High risk of rhabdomyolysis and acute kidney injury after traumatic limb compartment syndrome.

    abstract:PURPOSE:Rhabdomyolysis often occurs after traumatic compartment syndrome, and high morbidity and mortality have been reported with the acute kidney injury that develops subsequently. We focused on the risk factors for rhabdomyolysis and acute kidney injury in patients with traumatic compartment syndrome. We also analyz...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000460

    authors: Tsai WH,Huang ST,Liu WC,Chen LW,Yang KC,Hsu KC,Lin CT,Ho YY

    更新日期:2015-05-01 00:00:00

  • Cryosurgery for hemangiomas of the body surface and oral cavity.

    abstract::The indications for and limitations of cryosurgery for various types of hemangiomas on the body surface or in the intraoral region are reported based on our clinical experience. In our opinion, cryosurgery is not the method of choice in the management of hemangiomas but is useful under certain conditions, as with a lo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198006000-00005

    authors: Ohtsuka H,Shioya N,Tanaka S

    更新日期:1980-06-01 00:00:00

  • Vulval reconstruction using rectus abdominis musculocutaneous flap transfer with secondary liposuction in extramammary Paget's disease.

    abstract::Two female patients with vulval skin defects after extramammary Paget's disease were reconstructed using a pedicled, distally based rectus abdominis musculocutaneous flap. After the operation, the bulkiness of the flap, which might be a major problem in the application for a vulval skin defect, was improved successful...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199702000-00015

    authors: Hatoko M,Okazaki T,Tada H,Kuwahara M,Shiba A,Muramatsu T,Shirai T

    更新日期:1997-02-01 00:00:00

  • Comparison of AlloDerm and AlloMax tissue incorporation in rats.

    abstract:BACKGROUND:Human acellular dermal matrices (HADMs) are used in a variety of settings. AlloMax is a new HADM currently being used for breast reconstruction and hernia repair. We compared the in vivo tissue integration of AlloMax to AlloDerm, a well-studied HADM, in rats. METHODS:We implanted AlloDerm and AlloMax patche...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31827a2d00

    authors: Chauviere MV,Schutter RJ,Steigelman MB,Clark BZ,Grayson JK,Sahar DE

    更新日期:2014-09-01 00:00:00

  • Selective Scalp Nerve Block: A Useful Technique With Tissue Expansion in Postburn Pediatric Alopecia.

    abstract:BACKGROUND:Scalp defects can be reconstructed either with skin graft, local flaps, free flaps, or tissue expansion. Tissue expanders have been proved to be fruitful in the pediatric population. Scalp expansion has proved to be useful in the reconstruction of posttraumatic and postburn alopecic defects. Selective nerve ...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/SAP.0000000000001227

    authors: Abo-Zeid MA,Elmaddawy AEA,El-Fahar MH,El-Sabbagh AH

    更新日期:2018-02-01 00:00:00

  • Neurofibromas of the breast and nipple-areolar area.

    abstract::Neurofibromas are common tumors that arise from elements in the peripheral nervous system. The vast majority occur in the trunk and are usually limited to the head and neck area. We present two cases involving the skin of the breast and nipple-areolar complex and the method of treatment. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198110000-00010

    authors: Sherman JE,Smith JW

    更新日期:1981-10-01 00:00:00

  • Acute nerve grafting in traumatic injuries: two case studies.

    abstract::Primary nerve grafting in traumatic injuries is rarely performed because of the uncertainty of the extent of injury, the limited availability of nerve grafts, and the damage to adjacent soft tissue. In this report the authors present two cases of acute nerve grafting after trauma-the first of the common peroneal nerve...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200111000-00015

    authors: Sud V,Chang J,Lineaweaver MW

    更新日期:2001-11-01 00:00:00

  • Coverage of clavicular area by a pectoralis minor pedicle flap: anatomical study and description of three clinical cases.

    abstract::As the data in the literature concerning the vascularization of the pectoralis minor were conflicting, we conducted a new anatomic study on cadavers preliminary to clinical application of a pedicle flap for clavicular coverage in 3 patients. Twenty flaps were dissected, yielding numerous anatomic variations. In all ca...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318195381d

    authors: Bourdais L,Bellier-Waast F,Perrot P,Delpierre J,Pannier M,Duteille F

    更新日期:2009-10-01 00:00:00

  • Comparison of the ionic silver-containing hydrofiber and paraffin gauze dressing on split-thickness skin graft donor sites.

    abstract::The split-thickness skin graft (STSG) donor site dressing has been an inconclusive topic. Each of the Hydrofiber (Aquacel, ConvaTec A Bristol-Myers Squibb Company, Deeside, UK) and silver dressings have applied in many types of wound care with favorable outcomes. Our study compared the ionic silver-containing Hydrofib...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31818a65e9

    authors: Lohsiriwat V,Chuangsuwanich A

    更新日期:2009-04-01 00:00:00

  • The glomangioma in the differential diagnosis of vascular malformations.

    abstract::Glomus tumors develop from a thermoregulatory unit called the glomus body which is found in high density within the digits of both the hands and feet. To note, even though less frequently, these tumors can present in extradigital locations. Usually it presents as a small, 1-cm bluish nodule. Glomangioma (multiple glom...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000222729.59856.e1

    authors: Myers RS,Lo AK,Pawel BR

    更新日期:2006-10-01 00:00:00

  • Complications and removal rates of miniplates and screws used for maxillofacial fractures.

    abstract::Complications of miniplates and screws used for maxillofacial fractures were analyzed, and complications were evaluated in relation to fracture site. Motor vehicle accidents were the cause of all fractures in this study. During the last 7 years (1994-2001), noncompressive titanium miniplates and screws were used for s...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200203000-00006

    authors: Islamoglu K,Coskunfirat OK,Tetik G,Ozgentas HE

    更新日期:2002-03-01 00:00:00

  • Is it safe to combine abdominoplasty with other dermolipectomy procedures to correct skin excess after weight loss?

    abstract::The development of sophisticated bariatric surgery techniques has led to an increasing number of patients demanding a complexity of body contouring procedures that can be achieved either with a step-by-step approach or by combining dermolipectomy in various regions. The aim of this study was to test the hypothesis tha...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.SAP.0000070644.58346.4A

    authors: Gmür RU,Banic A,Erni D

    更新日期:2003-10-01 00:00:00

  • Subtotal midfacial/total nasal reconstruction following shotgun blast to the face employing composite microvascular serratus anterior rib, muscle, and scapular tip.

    abstract::A 40-year-old man presented with near-complete mid and lower facial destruction from a shotgun blast to the face. His midface was reconstructed with a serratus anterior muscle composite flap employing rib for nasal reconstruction and scapular tip for palate. Surfacing was done with split-thickness skin grafts. A tempo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199703000-00018

    authors: Thomas WO,Harris CN

    更新日期:1997-03-01 00:00:00

  • Body Wall Reconstruction for Conjoined Twins: Our Experience and Lessons Learned.

    abstract:BACKGROUND:Conjoined twinning is a rare congenital malformation, and the resultant huge body wall defects after separation of conjoined twins represent a real challenge to surgeons. METHODS:From 2004 to 2009, authors performed body wall reconstruction for 2 pairs of thoraco-omphalopagus twins and 1 pair of ischiopagus...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001609

    authors: Wu S,Guo K,Xiao P,Yang J,Sun J

    更新日期:2018-12-01 00:00:00

  • Molecular Mechanism of the "Babysitter" Procedure for Nerve Regeneration and Muscle Preservation in Peripheral Nerve Repair in a Rat Model.

    abstract:OBJECTIVE:To investigate the molecular mechanism of nerve "babysitter" for nerve regeneration and muscle preservation in peripheral nerve repair. METHODS:Eighty rats were equalized into 4 groups: peroneal nerve transected, group A received no treatment; group B underwent end-to-end repair; group C underwent end-to-sid...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000952

    authors: Liu HF,Chen ZG,Lineaweaver WC,Friel MT,Zhang F

    更新日期:2017-06-01 00:00:00

  • Treatment of chronic, nonhealing abdominal wound in a liquid environment.

    abstract::A 66-year-old woman with an abdominal wound caused by infected synthetic mesh had failed to heal in spite of many surgical attempts to close the wound. A sealed transparent vinyl chamber was glued to the periphery of the wound and antibiotics in high concentrations (up to 2,500 times the minimum inhibitory concentrati...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199601000-00016

    authors: Eriksson E,Perez N,Slama J,Page CP,Andree C,Maguire JH

    更新日期:1996-01-01 00:00:00

  • Prevention of Lymphedematous Change in the Mouse Hindlimb by Nonvascularized Lymph Node Transplantation.

    abstract::Lymphedema is a condition characterized by progressive swelling and adipose deposition that occurs commonly after lymphadenectomy. Recent clinical studies have suggested that the transfer of lymph nodes to the lymphedematous limb can improve lymphatic function. In this report, we investigate dynamic modulation of lymp...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000428

    authors: Shioya R,Furukawa H,Murao N,Hayashi T,Oyama A,Funayama E,Yamamoto Y,Saito N

    更新日期:2016-04-01 00:00:00

  • Giant cutaneous horn: a patient report.

    abstract::A large cutaneous horn was excised from the left side of the nose and cheek of a 68-year-old woman. Reconstruction was performed with a split-thickness skin graft. Histologically the lesion represented squamous cell carcinoma. The nature of malignant degeneration in cutaneous horns is discussed. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199712000-00019

    authors: Korkut T,Tan NB,Oztan Y

    更新日期:1997-12-01 00:00:00

  • Successful Treatment of Plantar Hyperkeratosis in the Form of Recurrent Corns With Split-Thickness Sole Skin Graft.

    abstract:INTRODUCTION:Plantar hyperkeratosis, such as corns and calluses, is common in older people and associated with pain, mobility impairment, and functional limitations. It usually develops on the palms, knees, or soles of feet, especially under the heels or balls. There are several treatment methods for plantar hyperkerat...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001304

    authors: Wang CY,Chang CK,Chou CY,Wu CJ,Chu TS,Chiao HY,Chen CY,Chen TM,Tzeng YS

    更新日期:2018-02-01 00:00:00

  • Tissue pH monitoring in microsurgery: a preliminary evaluation of continuous tissue pH monitoring as an indicator of perfusion disturbances in microvascular free flaps.

    abstract::In an experiment using a continuous tissue pH monitoring system, selective occlusion of the vessels supplying lower abdominal island flaps in Sprague-Dawley rats resulted in predictable tissue pH changes. Arterial occlusion resulted in a rapid fall in pH. In all three experimental groups, the steepest rate of pH drop ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198310000-00013

    authors: Raskin DJ,Erk Y,Spira M,Melissinos EG

    更新日期:1983-10-01 00:00:00

  • The free dorsoradial forearm perforator flap: anatomical study and clinical application in finger reconstruction.

    abstract::The perforator flaps are characterized by their thinness and the adjustable length of their vascular pedicle. The purpose of this investigation is to refine the anatomy of the perforators in the middorsoradial forearm and present our clinical experience using this free perforator flap in the reconstruction of finger d...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181d3772e

    authors: Gao W,Yan H,Li Z,Li X,Jiang L,Yu Q,Maxwell EH,Zhang F

    更新日期:2011-01-01 00:00:00