"Sensible" flap coverage of pressure sores in patients with meningomyelocele.

Abstract:

:Restoration of sensibility in the paraplegic patient is the optimal therapy for the management and prevention of debilitating pressure sores. In patients with an absence of sensibility below the L3 spinal level, a locally transposed arterialized neuromyocutaneous gracilis flap may be uniquely utilized for ischial restoration of sensibility. Two patients with meningomyelocele-induced ischial pressure sores underwent local innervated neuromyocutaneous gracilis flap transposition to insensate areas from below the anatomic level of recipient insensibility. A 10-year follow-up revealed maintenance of sensibility in the flap and spread of sensibility to adjacent insensate areas with no evidence of pressure sore recurrence. Cadaver dissection and clinical Xylocaine injection demonstrated that the cutaneous sensory innervation to this flap is by means of a consistent sensory branch from the deep neurovascular pedicle, which coincides with the L1-L3 dermatome.

journal_name

Plast Reconstr Surg

authors

Lesavoy MA,Dubrow TJ,Korn HN,Cedars MG,Castro DJ

subject

Has Abstract

pub_date

1990-03-01 00:00:00

pages

390-4; discussion 395-6

issue

3

eissn

0032-1052

issn

1529-4242

journal_volume

85

pub_type

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