TISSUE EXPANDER APPLICATIONS FOR EXTREMITIES
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Medknow Publications & Media Pvt Ltd
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: Tissue expanders have been frequently used in reconstructive surgery in order to obtain the necessary skin for the reconstruction of local or distant tissue defects because of their ability to form skin tissues of the same color, same sense and tissue quality with the defective field. Despite this fact, tissue expander applications for extremities have been shunned because of the high risk of complications. This study presents our approach to patients who had tissue expander applications for upper or lower extremities for various reasons, the technical details of the applications, and the results achieved from these patients alongside with literature. Material and Method: The data of a total of 15 patients who presented to our clinic between September 2010 and January 2013 and who had tissue expander applications for their extremities were retrospectively evaluated. The patients' data were evaluated regarding age, sex, etiological factor, the localization and size of the possible defect, the number, type, sizes, and volume of tissue expander applications, the size of the defect following excision, and complications. Results: 6 out of 15 patients covered by the study were male, while 9 were female. The mean age of the patients was 20.4 years (9-36). The tissue expander was applied to 11 fields for the upper extremities in 9 patients while it was applied to 8 fields for the lower extremities in 6 patients. 4 of the tissue expander applications for the upper extremities were applied for tattoo removal. The etiological reason for the lower extremities was traumatic scar or burn scar in all patients. The volumes of the used tissue expanders varied between 50 and 750 cc. The average expander volume was 168.3 cc (50-340 cc) for the upper extremities while it was 457.8 cc (60-750 cc) for the lower extremities. In 13 of 15 patients (86%) the expansion process was completed without any major complication. Conclusion: Although there is a widespread prejudice against tissue expander applications for extremities, it is possible to achieve successful results in cases where the appropriate implant was placed through the right technique and in cases where the expansion process was spread in time in mini volumes.
Açıklama
Anahtar Kelimeler
Extremity, Tissue Expander
Kaynak
Turkish Journal Of Plastic Surgery
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
21
Sayı
1
