Journal Title: بهار 86 Article title: Over Expanded Tissue Expansion for Facial Scars
Article PDF File: Page From: 44 To: 51
Article abstract: Introduction & Objective: Successful inflation of the expander device and coverage of the face with tissue of similar color and texture is usually limited by the amount of skin generated. Selecting a smaller device and over expanding it produces more flap generation and an overall better reconstructive outcome.
Materials & Methods: Described are the experiences encountered from 32 patients in whom a total of 52 expanders were inserted; 29 patients were burn victims with head and neck scars, one case was of a giant hairy nevus and two were post mastectomy patients. In all cases, a smaller device was applied with subsequent overexpansion to 2-4 times its registered volume.
Results: In using the above technique, we gained more transferable skin which was used to cover the defects. In comparing our results to previous studies, the rate of major and minor complications was the same. Illustrations of several representative cases are submitted.
Conclusions: Meticulous surgical techniques using smaller non-tension bearing incisions are important in minimizing complication rates of the procedure, ensuring its success, and allowing for salvage in case of any mishaps.
Article KeyWords: Tissue Expander, Over Expansion, Facial Scar
