The expanded transposition flap: shifting paradigms based on experience gained from two decades of pediatric tissue expansion

Plastic and Reconstructive Surgery
Bruce S Bauer, Alexander Margulis

Abstract

The authors present their experience with the design of expanded skin flaps gained over the past two decades in a large series of 995 expanded flap reconstructions performed in 626 operations in 430 patients. The indications for tissue expansion were giant congenital pigmented nevi (72.7 percent), scar contractures (11.2 percent), and a remainder for a variety of congenital and acquired deformities. Surgical strategies were reviewed retrospectively to determine the location in the body where the tissue expansion was performed, the number of procedures required to accomplish the reconstructive goal, and the design of the expanded flap that was used to reconstruct the involved area. Specific points that were noticed included contour deformities (such as webbing, dog-ears, or decreased limb circumference) following flap reconstruction, anatomic distortions (such as distortion of the eyebrow or the distance from the brow to hairline) following reconstruction, final position of the scars in relation to anatomic landmarks, borders of aesthetic units, and relaxed skin tension lines, and the potential for later scar contracture. Careful examination of reconstruction by region of involvement demonstrated significant advantages in the us...Continue Reading

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Citations

Nov 1, 2008·Seminars in Plastic Surgery·Jamil AhmadKamel M Itani
Feb 19, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·P M VogtM Meyer-Marcotty
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Dec 7, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Laura H Zaal, Chantal M van der Horst
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Jan 8, 2005·Clinics in Plastic Surgery·Bruce S Bauer, Julia Corcoran
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Jul 6, 2016·Burns : Journal of the International Society for Burn Injuries·Bowen GaoFeng Xie
Oct 11, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yair ShacharAlexander Margulis
Oct 21, 2017·Annals of Plastic Surgery·Yurema Gonzalez Ruiz, Juan Carlos López Gutiérrez
Nov 23, 2006·The Journal of Craniofacial Surgery·Connie ChungJohn Persing
May 6, 2008·Plastic and Reconstructive Surgery·Zol B Kryger, Bruce S Bauer
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Nov 26, 2009·Plastic and Reconstructive Surgery·Alexander MargulisBruce S Bauer
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Sep 30, 2005·The Journal of Craniofacial Surgery·Jugpal S Arneja, Arun K Gosain
Sep 30, 2005·The Journal of Craniofacial Surgery·David LeshemRonald M Zuker
Nov 14, 2013·Experimental and Therapeutic Medicine·Lin FangMingyong Yang
Jun 17, 2015·The Journal of Craniofacial Surgery·Murat Şahin AlagözErsin Ülkür
Aug 6, 2021·Archives of Plastic Surgery·Tran Thiet SonNguyen Thanh Liem

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