Tissue expanders for soft tissue reconstruction in the head and neck area--requirements and limitations.

Clinical Oral Investigations
Jörg HandschelAndré Zimmermann

Abstract

The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outc...Continue Reading

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Citations

Sep 22, 2015·Annals of Maxillofacial Surgery·S M Balaji
Apr 8, 2015·Journal of Maxillofacial and Oral Surgery·Jacob JohnJoju George
Aug 15, 2018·Aesthetic Surgery Journal·Berry FairchildMark W Clemens
Nov 28, 2019·Head & Neck·Jayson L AzziMirko S Gilardino
Jul 15, 2017·The Journal of Craniofacial Surgery·Xianjie MaJiangbo Cui
Feb 6, 2020·Stem Cell Research & Therapy·Mingwu DengWen Jie Zhang
Feb 9, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yixin ZhangShaoqing Feng
Jan 15, 2021·Annals of Plastic Surgery·Haiyang SunXiaoyan Tan
Aug 1, 2021·Annales de chirurgie plastique et esthétique·S MaamouriI Zairi

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