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Related Experiment Video

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Tissue Expanders in Staged Calvarial Reconstruction: A Systematic Review.

Andrea Y Lo1, Roy P Yu1, Anjali C Raghuram1

  • 1Division of Plastic and Reconstructive Surgery, Keck School of Medicine of University of South California, Los Angeles, California.

Archives of Plastic Surgery
|December 16, 2022
PubMed
Summary
This summary is machine-generated.

Tissue expansion (TE) is a safe and effective method for staged cranioplasties, particularly for complex skull defect reconstructions. This review highlights TE

Keywords:
calvariumcranioplastyplastic surgerytissue expander

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Tissue Engineering

Background:

  • Cranioplasties are common reconstructive surgeries.
  • Tissue expansion (TE) is less frequently used in staged cranioplasties.
  • Optimal soft tissue coverage is crucial for successful cranioplasty outcomes.

Purpose of the Study:

  • To systematically review the literature on the use of tissue expansion (TE) in staged cranioplasties.
  • To analyze postoperative outcomes and complication rates associated with TE in cranioplasty.
  • To describe current practices and identify factors influencing outcomes in staged cranioplasty using TE.

Main Methods:

  • Systematic literature review of multiple databases.
  • Inclusion of case series, retrospective reviews, and systematic reviews.
  • Data extraction on patient demographics, procedure characteristics, and outcomes for 85 patients.

Main Results:

  • 85 patients underwent staged cranioplasty with TE, with an average defect size of 122 cm².
  • Skin expansion was the most common soft tissue closure method (75.3%).
  • Overall infection (3.53%) and local complication (9.41%) rates were low; cerebrospinal fluid leak and hematoma were most common (7.1% each).

Conclusions:

  • Tissue expansion (TE) plays a safe and effective role in selected staged cranioplasty cases.
  • Adequate soft tissue coverage is essential for successful cranioplasty.
  • Higher complication rates were associated with alloplastic calvarial implants and congenital defects.