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Tissue expanders in soft tissue reconstruction.

J H Yinn, C Y Wang, S S Chiang

    Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
    |March 1, 1989
    PubMed
    Summary
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    Tissue expansion offers excellent aesthetic and functional results for soft tissue reconstruction. Despite a high failure rate in this study, this technique remains valuable for plastic and reconstructive surgery.

    Area of Science:

    • Plastic and Reconstructive Surgery
    • Tissue Engineering

    Background:

    • Various methods exist for soft tissue defect reconstruction, including skin grafts and microvascular free flaps.
    • Tissue expansion is a technique that expands adjacent healthy tissue for reconstruction.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of tissue expansion for soft tissue defect reconstruction.

    Main Methods:

    • Tissue expansion was performed on 13 patients (7 male, 6 female) aged 11-40 years between Oct 1986 and Oct 1988.
    • Patients were categorized by defect location: head and neck (6), trunk (2), and extremity (5).

    Main Results:

    • Seven cases (54%) achieved successful reconstruction.
    • Six cases (46%) failed due to infection (1), implant leakage (1), or expander extrusion (4).

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    Conclusions:

    • Tissue expansion provides reconstructive tissue with favorable aesthetic and functional qualities.
    • Despite a significant failure rate, tissue expansion is a viable option for achieving good reconstructive outcomes.