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Choosing the right rectangular expander and maximising the benefits from expanded tissue.

Mustafa Durgun1, Ersin Aksam2

  • 1Associate Professor, Izmir Katip Celebi University, Faculty of Medicine, Plastic Reconstructive and Aesthetic Surgery Department.

Journal of Wound Care
|June 6, 2019
PubMed
Summary

Choosing the correct rectangular tissue expander size is crucial for successful wound reconstruction. Ensure the expander height is at least half the wound length for optimal tissue expansion and coverage.

Keywords:
advancement flapexpansion heightscalp expansionscar revision

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Area of Science:

  • Plastic Surgery
  • Regenerative Medicine
  • Biomaterials Engineering

Background:

  • Tissue expanders are integral to reconstructive surgery for covering defects.
  • Rectangular expanders offer specific advantages in certain wound scenarios.
  • Optimal selection and placement are key to maximizing tissue expansion outcomes.

Purpose of the Study:

  • To guide the selection of appropriate rectangular tissue expander dimensions.
  • To define the relationship between wound size and expander size for successful coverage.
  • To evaluate the efficacy of the maximum advancement technique with rectangular expanders.

Main Methods:

  • Included 19 patients undergoing reconstruction between January 2013 and January 2017.
  • Selected rectangular expander height >50% of wound length; width maximized based on wound.
  • Placed expanders adjacent to wounds and utilized maximum advancement for coverage.

Main Results:

  • All 19 patients (mean age 17.5 years) achieved successful wound repair.
  • Indications included burn scars (n=14) and congenital nevi (n=5).
  • Expanders were primarily placed on the scalp (n=17) and supraclavicular area (n=2).

Conclusions:

  • Rectangular expander success relies on achieving adequate expanded tissue height.
  • Preoperative planning should ensure expander height is at least half the wound length.
  • Correct placement of lateral flaps maximizes the benefit of expanded tissue.