Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations
| Autor: | A. Zimmermann, Michelle A Ommerborn, Jörg Handschel, Christoph Sproll, Norbert R. Kübler, Stefanie Schultz, Christian Naujoks, Rita Depprich, Ralf Smeets |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Skin Neoplasms medicine.medical_treatment Dermatologic Surgical Procedures Nose Neoplasms Tissue Expansion Tumor resection Sodium Chloride Postoperative Complications Risk Factors Soft tissue reconstruction Surgical Wound Dehiscence Humans Medicine Prospective Studies Prospective cohort study Head and neck General Dentistry Nose Skin Tissue expander business.industry Skull Age Factors Tissue Expansion Devices Alopecia Equipment Design Middle Aged Plastic Surgery Procedures Surgery Treatment Outcome medicine.anatomical_structure Face Female business Complication Head Craniotomy Neck Tissue expansion |
| Zdroj: | Clinical Oral Investigations. 17:573-578 |
| ISSN: | 1436-3771 1432-6981 |
| DOI: | 10.1007/s00784-012-0747-8 |
| Popis: | The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 cm2) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. |
| Databáze: | OpenAIRE |
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