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Control group 1 death as a result of wound infection secondary to cerebrospinal fluid fistula and 2 patients needed lumbar subarachnoid drain; neurologic outcome 3 patients improved and 6 were unchanged. Flap group no wound-related complications were observed; neurologic outcome 3 patients improved and 5 were unchanged. No flap-related complications were described. Flap harvesting was feasible in all cases, with an average 20 minutes adjunctive surgical time. The PMMF technique was feasible and safe; in this preliminary experience, its us