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Published on: April 16, 2017
Post-burn head and neck reconstruction using tissue expanders.
Summary
Tissue expanders are effective for head and neck burn reconstruction. This method provides ample tissue for versatile coverage, achieving satisfactory results in all patients.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Burn Management
Background:
- Tissue expanders are valuable tools in reconstructive surgery.
- Head and neck burn reconstruction presents unique challenges.
- Previous research supports the vascularity of large, narrow-pedicled flaps.
Purpose of the Study:
- To review the use of tissue expanders in head and neck burn reconstruction.
- To evaluate the efficacy of tissue expanders for creating large, well-vascularized flaps.
- To assess the outcomes of reconstructions using expanded flaps.
Main Methods:
- A retrospective review of 72 patients undergoing head and neck burn reconstruction.
- Use of 82 tissue expanders between April 2002 and February 2007.
- Preoperative flap and implant selection guided by laboratory findings on flap vascularity.
Main Results:
- Satisfactory reconstruction outcomes were achieved in all cases.
- Tissue expanders successfully enhanced tissue area for large flap creation.
- Expanded flaps provided versatile coverage for facial and neck defects.
Conclusions:
- Tissue expansion is a treatment of choice for head and neck burn reconstruction.
- Careful planning and execution are crucial for successful tissue expansion.
- This technique allows for versatile and adequate tissue coverage in complex reconstructions.
