Expansion in Head and Neck at Sohag University Hospital | ||||
| Sohag Medical Journal | ||||
| Article 34, Volume 22, Issue 1, January 2018, Page 199-206 PDF (220.71 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/smj.2018.41306 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Gamal Youssef Elsayed1; Esam E. Bahgat2; Tarek A Abulezz2; Hossam F. Abd El Hameed3 | ||||
| 1Department of Plastic Surgery Faculty of Medicine University of Sohag | ||||
| 2Department of plastic surgery, Faculty of medicine, Sohag University. | ||||
| 3Department of General surgery, Faculty of medicine, Sohag University. | ||||
| Abstract | ||||
| Background: Tissue expansion is widely used in the head and neck, it have many advantages as the expanded tissue have the same color and texture of the treated area of the skin. Objectives:The aim of this work is to evaluate the expander utilization in head and neck reconstruction regarding indications and complications.Patients and methods: This is a prospective study included 30patients (18 female and 12 male), their age ranged from 3 to 36 years with mean value of 16 years,all patients were evaluated and managed in the plastic surgery department at Sohag university hospital. Results: the most cases of tissue expander used for scalp reconstruction followed by neck and nose reconstruction, young aged mostly treated with tissue expander than old aged and female more than male. Conclusion:The use of expanders provides the surgeon with a very reliable, simple method of reconstruction, the most common indications of expander uses were the post burn lesion alopecia of the scalp, post burn scar of the face, congenital melanocytic nevus of the forehead, haemangioma of the nose and congenital lymphatic malformations of the neck. The most common complications were expander exposure, wound dehiscent and serosa. | ||||
| Keywords | ||||
| tissue expander; Scalp; Reconstruction | ||||
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| References | ||||
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1- Bakhshaeekia, A. 2013. Ten-year experience in face and neck unit reconstruction using tissue expanders. Burns, 39(3): 522-527.
2- Egeland, B. M., & Cederna, P. S. 2008. A minimally invasive approach to the placement of tissue expanders. Paper presented at the Seminars in plastic surgery.
3- Turko, A., Fuzaylov, G., Savchyn, V., & Driscoll, D. 2013. Immediate and early tissue expander placement for acute closure of scalp wounds. Annals of plastic surgery, 71(2): 160-165.
4- Yeşilada, A. K., Akçal, A., Dağdelen, D., Sucu, D. Ö., Kılınç, L., & Tatlıdede, H. S. 2013. The feasibility of tissue expansion in reconstruction of congenital and aquired deformities of pediatric patients. International journal of burns and trauma, 3(3): 144.
5- Eisenmann-Klein, M., & Neuhann-Lorenz, C. 2010. Innovations in Plastic and Aesthetic Surgery: Springer Berlin Heidelberg.
6- Yeong, E.-K., Chen, K.-W., & Chan, Z.-H. 2011. Risk factors of tissue-expansion failure in burn-scar reconstruction. Journal of Plastic, Reconstructive & Aesthetic Surgery, 64(12): 1635-1640.
7- Almeida, M. 2000. Expanded shoulder flap in burn sequela. Acta chirurgiae plasticae, 43(3): 86-90.
8- Motamed, S., Niazi, F., Atarian, S., & Motamed, A. 2008. Post-burn head and neck reconstruction using tissue expanders. Burns, 34(6): 878-884.
9- Hudson, D. A., & Grob, M. 2005. Optimising results with tissue expansion: 10 simple rules for successful tissue expander insertion. Burns, 31(1): 1-4
10- Bozkurt, A., Groger, A., O’dey, D., Vogeler, F., Piatkowski, A., Fuchs, P. C., & Pallua, N. 2008. Retrospective analysis of tissue expansion in reconstructive burn surgery: evaluation of complication rates. Burns, 34(8): 1113-1118.
11- Antonyshyn, O., Gruss, J. S., Mackinnon, S., & Zuker, R. 1988. Complications of soft tissue expansion. British journal of plastic surgery, 41(3): 239-250.
12- Baker, S. R., & Swanson, N. A. 1990. Tissue expansion of the head and neck: indications, technique, and complications. Archives of Otolaryngology–Head & Neck Surgery, 116(10): 1147-1153.
13- Wieslander, J. B. 1991. Tissue expansion in the head and neck: a 6-year review. Scandinavian journal of plastic and reconstructive surgery and hand surgery, 25(1): 47-56. | ||||
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