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Tissue expanders in reconstructive surgery.

P H Fong1, C L Yeap, S T Lee

  • 1Department of Plastic Surgery, Singapore General Hospital.

Annals of the Academy of Medicine, Singapore
|April 1, 1987
PubMed
Summary
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Tissue expanders offer a solution for skin and soft tissue shortages in reconstructive surgery. This study found a high success rate, demonstrating their effectiveness in challenging cases.

Area of Science:

  • Plastic Surgery
  • Biomaterials Engineering

Background:

  • Skin and soft tissue deficits pose significant challenges in reconstructive surgery.
  • Tissue expanders have emerged as a promising solution to address these limitations.

Purpose of the Study:

  • To evaluate the efficacy and safety of tissue expanders in a diverse patient cohort.
  • To assess the outcomes of reconstructive procedures utilizing tissue expanders for various defects.

Main Methods:

  • Utilized 30 Cox-Uphoff (CUI) tissue expanders (30-1000 ml) in 25 patients (ages 7-46).
  • Expanders were placed subcutaneously, subfascially, or submuscularly and expanded over 6 weeks as an outpatient procedure.

Main Results:

  • Successful treatment was achieved in 21 out of 25 patients.

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  • Complications included technical issues, expander extrusion, hematoma, and infection, highlighting areas for improvement.
  • Conclusions:

    • Tissue expanders represent a significant advancement in reconstructive surgery, enabling tissue stretching for defect coverage.
    • Further refinements in expander design and surgical experience can potentially minimize complications and enhance outcomes.