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Related Experiment Video

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Inflating Your Success: An Algorithmic Approach to Improving Outcomes in Pediatric Tissue Expansion.

Jackson C Green1, Samuel G Ruiz2, Kylie R Swiekatowski1

  • 1From the Division of Plastic and Reconstructive Surgery, McGovern Medical School, UTHealth Houston, Houston, TX.

Plastic and Reconstructive Surgery. Global Open
|April 13, 2026
PubMed
Summary

Pediatric tissue expansion (TE) is effective for reconstruction, though complications like extrusion and infection occur. Early management of these issues is key to achieving successful outcomes in young patients.

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Area of Science:

  • Plastic Surgery
  • Pediatric Surgery
  • Reconstructive Surgery

Background:

  • Tissue expanders (TEs) are essential for soft tissue reconstruction.
  • Pediatric patients present unique challenges for TE use.
  • This study addresses complications and outcomes in pediatric TE procedures.

Purpose of the Study:

  • To examine challenges associated with pediatric tissue expanders.
  • To propose an algorithm for minimizing complications.
  • To optimize outcomes in pediatric tissue expansion.

Main Methods:

  • Retrospective review of pediatric patients (<18 years) using TEs from 2014-2024.
  • Exclusion of breast reconstruction cases.
  • Home management of subsequent expansions with parental monitoring and education.

Main Results:

  • 96 TEs in 40 pediatric patients (median age 5.2 years).
  • Most common indications: congenital skin lesions (62.5%), trauma/burns (12.5%).
  • Complications occurred in 35.4% of TEs (extrusion 17.7%, infection 11.5%), with 92.5% overall successful reconstruction.

Conclusions:

  • Tissue expansion is effective for pediatric reconstruction despite complication risks.
  • Early diagnosis and management of complications are crucial.
  • A structured approach improves outcomes in pediatric TE procedures.