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conferenceseries
.com
Volume 7, Issue 3 (Suppl)
Otolaryngol (Sunnyvale), an open access journal
ISSN:2161-119X
Head, Neck and Plastic Surgery 2017
June 19-20, 2017
June 19-20, 2017 Philadelphia, USA
5
th
Global Summit and Expo on
Head, Neck and Plastic Surgery
Further thoughts on the surgical repair of meningomyelocele
Michael F Angel
and
John J Angel
ENT Institute in Atlanta Georgia, USA
D
espite multiple advances, meningomyelocele continues to be a significant source of morbidity. Multiple specialists at
tertiary medical centers are involved in the treatment. Five years ago a retrospective study of the experience at the
University of Mississippi was reported and it was one of the largest series in the last several decades. It addresses many issues in
the surgical management of this problem in concert with neurosurgery. In the current update, a literature search of subsequent
studies was conducted (N=12). Analyzing our study and others, several conclusions are reached: (1) Surgical management is
affected by the size and location of the pathology; (2) Fasciocutaneous flaps are effective and efficient; (3) Successful closure of
defects results in early discharge from the hospital (~14 days POD); and (4) Use of gluteus flaps, although they are sometimes
needed, results in longer hospitalization. Our study is unique for several reasons besides its size. Our design of faciocutaneous
flaps is standard and elevation is simple. It is quick with minimal blood loss. It negates the need for skin grafts even in the
largest defects. Our utilization of paraspinous flaps and fasciocutaneous with deep epithelialization allows closure without the
morbidity of gluteus flaps. Surgical treatments are described and contrasted to techniques in the recent literature.
Biography
Michael F Angel is double boarded in Plastic Surgery and Otolaryngology. He has been involved in various basic science projects, primarily involving ischemia and
free radical mechanisms in skin, muscles and nerves. He has many clinical interests and has written on areas ranging from meningomyleocele, breast reduction
and wound healing, to nerve compression. He is currently working at the.
mangel@me.comMichael F Angel et al., Otolaryngol (Sunnyvale) 2017, 7:3 (Suppl)
DOI: 10.4172/2161-119X-C1-016