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Pediatric cervicofacial tissue expansion.

Keith A Hurvitz1, Heather Rosen, John G Meara

  • 1University of California Irvine, Aesthetic and Plastic Surgery Institute, Irvine, CA, USA.

International Journal of Pediatric Otorhinolaryngology
|May 24, 2005
PubMed
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Pediatric cervicofacial tissue expansion has a high complication rate, similar to previous studies. Careful patient selection and informed consent are crucial for this reconstructive option.

Area of Science:

  • Plastic Surgery
  • Pediatric Surgery
  • Reconstructive Surgery

Background:

  • Tissue expanders are utilized for large pediatric defect reconstruction.
  • Cervicofacial tissue expansion is a common reconstructive technique in children.
  • This study focuses on the specific outcomes of cervicofacial tissue expansion in pediatric patients.

Purpose of the Study:

  • To review the experience with cervicofacial tissue expansion in pediatric patients.
  • To identify complication rates and types associated with pediatric cervicofacial tissue expansion.
  • To evaluate the viability of this technique in pediatric reconstructive surgery.

Main Methods:

  • Retrospective review of 89 children undergoing head and neck tissue expansion.
  • Analysis of 182 total tissue expander placements.

Related Experiment Videos

  • Categorization of indications including congenital nevi, burn scars, and vascular malformations.

    • Main Results:

    • A 30.8% complication rate was observed across 182 expander placements.
    • Common complications included exposure, infection, leakage, and flap necrosis.
    • Expanders in the neck region demonstrated the highest complication frequency.

    Conclusions:

    • Pediatric cervicofacial tissue expansion exhibits a high complication rate, consistent with prior research.
    • Despite complications, tissue expansion remains a valuable reconstructive choice for pediatric patients.
    • Emphasizes the importance of meticulous patient selection, education, and informed consent.