Ahmed Elshahat1. 1. Plastic Surgery Department, Ain Shams University, Ard Elgolf, Nasr City, 11371 Cairo, Egypt. elshahat70@hotmail.com
Abstract
UNLABELLED: The tissue expansion technique is in the armamentaria in reconstructive surgery. It provides donor skin that is an optimal match in terms of skin color, texture, sensation and hair-bearing characteristics. Literature shows its applications in all regions from the head to the feet. Tissue expansion in extremities, however, carries a high rate of complications. Fortunately, not every complication in tissue expansion means failure. OBJECTIVE: A retrospective comparative analysis between tissue expansion in limb and non-limb sites in burn deformities. MATERIALS AND METHODS: Sixty expanders in 53 patients were included. These constitute the experience of a single surgeon. Forty expanders (66.6%) were applied to non-limb sites and 20 expanders (33.3%) to limb sites. Indications of tissue expansion were burn alopecia, scarring and contracture. Complications and failures were recorded. RESULTS: Non-limb expanders had 10% rate of complications and 2.5% of failure. Limb expanders showed 30% complications and 15% failure. Statistical analysis showed that the difference was non-significant at this statistical power. CONCLUSION: The non-significant difference regarding complication and failure rates between limb and non-limb expanders in this study encourages the use of tissue expanders in extremities. Close follow-up of patients will prevent many expanders that develop complications from becoming failures.
UNLABELLED: The tissue expansion technique is in the armamentaria in reconstructive surgery. It provides donor skin that is an optimal match in terms of skin color, texture, sensation and hair-bearing characteristics. Literature shows its applications in all regions from the head to the feet. Tissue expansion in extremities, however, carries a high rate of complications. Fortunately, not every complication in tissue expansion means failure. OBJECTIVE: A retrospective comparative analysis between tissue expansion in limb and non-limb sites in burn deformities. MATERIALS AND METHODS: Sixty expanders in 53 patients were included. These constitute the experience of a single surgeon. Forty expanders (66.6%) were applied to non-limb sites and 20 expanders (33.3%) to limb sites. Indications of tissue expansion were burn alopecia, scarring and contracture. Complications and failures were recorded. RESULTS: Non-limb expanders had 10% rate of complications and 2.5% of failure. Limb expanders showed 30% complications and 15% failure. Statistical analysis showed that the difference was non-significant at this statistical power. CONCLUSION: The non-significant difference regarding complication and failure rates between limb and non-limb expanders in this study encourages the use of tissue expanders in extremities. Close follow-up of patients will prevent many expanders that develop complications from becoming failures.
Authors: Berry Fairchild; Warren Ellsworth; Jesse C Selber; David P Bogue; Dmitry Zavlin; Stephanie Nemir; Cristina M Checka; Mark W Clemens Journal: Aesthet Surg J Date: 2020-01-01 Impact factor: 4.283
Authors: Shuang-Bai Zhou; Guo-You Zhang; Yun Xie; Tao Zan; Yao-Kai Gan; Caroline A Yao; Cheng-An Chiang; Jing Wang; Kai Liu; Hua Li; Jia Zhou; Mei Yang; Bin Gu; Feng Xie; Lee Q Pu; William P Magee; Qing-Feng Li Journal: EBioMedicine Date: 2016-10-01 Impact factor: 8.143