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Tissue expanders in children.

C Paletta1, E Campbell, S I Shehadi

  • 1Division of Plastic and Reconstructive Surgery, St. Louis University School of Medicine, MO 63110.

Journal of Pediatric Surgery
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

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Tissue expanders are well-tolerated reconstructive tools for pediatric patients, offering successful outcomes in most cases. While complications like exposure can occur, they are rare and manageable, preserving reconstructive options.

Area of Science:

  • Plastic Surgery
  • Pediatric Surgery
  • Biomaterials Science

Background:

  • Tissue expanders are increasingly utilized in reconstructive surgery.
  • Their application in the pediatric population requires specific consideration due to unique physiological and lifestyle factors.

Observation:

  • A retrospective review of 26 tissue expander applications in 17 pediatric patients over two years was conducted.
  • The study assessed the tolerability, success rates, and complications associated with tissue expanders in children.

Findings:

  • Tissue expanders demonstrated a high success rate, with 15 out of 17 pediatric patients undergoing successful reconstructive surgery.
  • The devices were well-tolerated, withstanding the physical demands of childhood.
  • Two cases (11.8%) experienced expander exposure, necessitating device removal and alternative, more complex reconstructive procedures.

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Implications:

  • Tissue expander use is a viable and effective reconstructive strategy in pediatric surgery.
  • Careful patient selection and surgical technique are crucial to minimize complications such as exposure.
  • Successful expander use can lead to satisfactory reconstructive outcomes, while complications may necessitate more involved surgical approaches.