Tissue expanders; review of indications, results and outcome during 15 years' experience
| Autor: | Mahnoush Momeni, Shahnam Sedigh-Maroufi, Noor-Ahmad Latifi, Mohammad Reza Akhoondinasab, Ali-Mohammad Karimi, Hamid Karimi |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Perforation (oil well) Tissue Expansion Dehiscence Critical Care and Intensive Care Medicine Demographic data Surgical Flaps 030207 dermatology & venereal diseases 03 medical and health sciences Cicatrix Young Adult 0302 clinical medicine Port (medical) medicine Humans Child Retrospective Studies Tissue expander business.industry Microtia Tissue Expansion Devices 030208 emergency & critical care medicine General Medicine Plastic Surgery Procedures medicine.disease Surgery Treatment Outcome Child Preschool Emergency Medicine Female business |
| Zdroj: | Burns : journal of the International Society for Burn Injuries. 45(4) |
| ISSN: | 1879-1409 |
| Popis: | Background Tissue expanders (TE) are frequently used worldwide. In this study we surveyed outcome of our patients retrospectively during 15 years. Materials and Methods We had 1105 patients for whom 3059 TEs have been used. Demographic data, age, sex, indications, type of tissue expander devices, volume of devices, site of scar and site TE insertion, our technique for tissue expander insertion and flap design, complications and outcome were gathered. A complete and through technical points and tips will be discussed. Results In 91% of patients overexpansion was done. (Expansion ratio = 2.1–4.5). Re-expansion has been done in about 12% of patients. Complications were perforation of skin of pocket (11%) or exposure, infection (6%), dehiscence of the wound (1.5%), perforation of the port or disconnection of the tubes (2.1%), expansion of the scar itself (1%), saggy flap (3%), dog ear (5%), lack of adhesions of flap to its new site (4%). Outcome In 93% of the patients we could totally remove the scar. Around 9.1% of our patients had two sessions of expansion in the same area and 2.9% had three sessions of expansion. 51% of our patients were highly satisfied and 42% were satisfied of the results of expansion. Conclusion Our patients were satisfied with the results. In 12% cases we have done re-expansion. Re-expansion is possible as long as you have enough thickness of dermis in the skin. More than 50% of our patients were optimistic for 2nd or 3rd session of re-expansion. |
| Databáze: | OpenAIRE |
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