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Published on: April 16, 2017
The Dynamic Changes in Skin Thickness of Forehead during Tissue Expansion
Zhen Song1, Xulong Zhang1, Yihao Xu1
1The Department of Rhinoplasty, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shijingshan District, Beijing, People's Republic of China.
Forehead flap thickness decreases during tissue expansion, with the most rapid thinning in the first two months. Subcutaneous tissue shows a greater reduction than dermal tissue over the expansion period.
Area of Science:
- Plastic Surgery
- Regenerative Medicine
- Biomedical Engineering
Background:
- Tissue expansion is crucial for reconstructive surgery, providing increased flap size.
- Changes in flap thickness during tissue expansion are not fully understood.
- Forehead flaps are commonly used in reconstructive procedures.
Purpose of the Study:
- To quantify dynamic changes in forehead flap thickness during tissue expansion.
- To assess variations in skin and subcutaneous tissue thickness.
- To determine the rate of thickness change over a 4-month period.
Main Methods:
- Ultrasound measurements of forehead flap thickness (skin and subcutaneous tissue).
- Data collected before and at 1, 2, 3, and 4 months post-expansion.
- Study included 12 patients undergoing forehead expander embedment.
Main Results:
- Forehead flap thickness significantly decreased during expansion.
- The most rapid decrease occurred within the first 2 months.
- Subcutaneous tissue thickness reduced more than dermal tissue thickness.
Conclusions:
- Tissue expansion leads to a notable reduction in forehead flap thickness.
- The rate of thickness reduction slows after the initial 2 months.
- Understanding these dynamic changes is vital for optimizing reconstructive surgery outcomes.
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