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Related Experiment Videos

Repeated expansion in burn sequela.

Ivo Pitanguy1, Natale Ferreira Gontijo de Amorim, Henrique N Radwanski

  • 1Department of the Pontifical, Institute of Post-Graduate Medical Studies, Catholic University of Rio de Janeiro, 22280-020, Rio de Janeiro, Brazil. pitanguy@visualnet.com.br

Burns : Journal of the International Society for Burn Injuries
|August 7, 2002
PubMed
Summary

Tissue expanders effectively treat burn sequelae by allowing for large area reconstruction. This method uses the patient's own skin, matching color and texture without new scars.

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Area of Science:

  • Plastic Surgery
  • Regenerative Medicine

Background:

  • Burn injuries often result in significant tissue loss and scarring, necessitating reconstructive procedures.
  • Traditional reconstructive methods can lead to additional scarring and may not always match surrounding tissue characteristics.

Purpose of the Study:

  • To evaluate the efficacy of tissue expanders in reconstructing extensive burn sequelae.
  • To assess the outcomes of repeated tissue expansion procedures in burn patients.

Main Methods:

  • A retrospective study analyzing 346 tissue expander applications in 132 patients treated between 1985 and 2000.
  • Inclusion of cases with simultaneous and repeated tissue expansion.
  • Evaluation of flap distension, viability, and reconstructive outcomes.

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Main Results:

  • Tissue expanders facilitated the reconstruction of extensive burn areas.
  • Re-expanded flaps showed good distension and viability.
  • Larger volume expanders were utilized successfully for flap advancement.
  • 42 patients underwent repeated tissue expansion with positive results.

Conclusions:

  • Tissue expansion is a valuable technique for reconstructing burn sequelae, offering natural tissue matching.
  • The method allows for reconstruction without introducing new scars, preserving aesthetic and functional outcomes.
  • Repeated tissue expansion can be safely employed to achieve adequate flap advancement for extensive reconstructions.