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Published on: April 16, 2017
An alternative method of using an interpositional silicone sheet in tissue expansion
Huseyin Borman1, Murat Deniz, Taner Bahar
1Department of Plastic, Reconstructive, and Esthetic Surgery, Baskent University Faculty of Medicine, Ankara, Turkey. hnborman@yahoo.com
The Journal of Craniofacial Surgery
|May 23, 2009
Summary
Adding a silicone sheet during tissue expansion in rats improved blood flow and tissue thickness. This method may help reduce complications like expander extrusion.
Area of Science:
- Biomedical Engineering
- Plastic Surgery
- Regenerative Medicine
Background:
- Tissue expansion is a common procedure in reconstructive surgery.
- Complications such as reduced blood flow and expander extrusion can occur.
- Improving tissue viability and expander integration is crucial.
Purpose of the Study:
- To evaluate the effect of a silicone sheet barrier on tissue expansion outcomes in a rat model.
- To assess the impact on blood flow and tissue histology.
- To determine if this method reduces complications.
Main Methods:
- Two groups of rats (n=10 each) underwent dorsal skin tissue expansion.
- Group 1: Standard tissue expander placement.
- Group 2: Tissue expander placed with an interposed silicone sheet.
Main Results:
- Blood flow was reduced at the expander dome in both groups compared to the periphery.
- Significantly better blood flow was observed in Group 2 (silicone sheet) compared to Group 1.
- Histologic analysis revealed significantly thicker dermal and capsular tissues in Group 2.
Conclusions:
- Interposing a silicone sheet during tissue expansion appears beneficial.
- This technique may enhance blood perfusion and tissue regeneration.
- The use of a silicone sheet shows potential for reducing tissue expander complications, including extrusion.
