Complications of Tissue Expansion in a Public Hospital

Youm, Thomas; Margiotta, Michael S.; Kasabian, Armen K.; Karp, Nolan S.

doi:10.1097/00000637-199904000-00008

Cited by 43 publications

(30 citation statements)

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“…Las complicaciones asociadas al uso de expansores tisulares incluyen: infecciones, exposición y pérdida de volumen, que variaban entre el 40-60% en trabajos iniciales y que han disminuido con el tiempo (15).…”

Section: Discussionunclassified

Experiencia en el tratamiento de quemaduras de cuero cabelludo

Pereira

Léniz

Enríquez

et al. 2013

Cir. plást. iberolatinoam.

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ResumenEl cuero cabelludo es la barrera más externa y más importante del cráneo y del cerebro. Si bien las quemaduras de esta zona son raras, cuando se producen suelen estar causadas por alta tensión eléctrica, fuego, líquidos hirvientes u otras fuentes de calor.El objetivo de este trabajo es presentar una serie de casos de quemaduras de cuero cabelludo tratadas en los últimos 10 años en el Hospital del Trabajador de Santiago (Chile). Se trata de un estudio descriptivo retrospectivo en el que se analizó la información demográfica y terapéutica de los pacientes que requirieron hospitalización al tiempo que se revisó la literatura al respecto.En total se registraron 2.266 consultas por quemaduras en la cabeza, de las cuales 34 fueron del cuero cabelludo y 11 requirieron hospitalización; la mayoría fueron quemaduras eléctricas, 4 casos y por fuego, otros 4 casos. En el tratamiento, destacó el uso en 1 caso de colgajo libre asociado a colgajos locales de avance. En el tratamiento de las secuelas se utilizaron expansores y posteriormente colgajos locales de avance.Sólo una pequeña parte de los pacientes que consultan por quemaduras en la cabeza corresponden a quemaduras del cuero cabelludo. La mayoría son tratadas de forma ambulatoria y no requieren acciones mayores. Los pacientes con quemaduras eléctricas suelen requerir tratamientos más agresivos. Para el tratamiento de las secuelas son preferibles los expansores y los colgajos de avance. Palabras clave Quemaduras de cuero cabelludo,Expansores, Colgajos locales de avance. Código numérico 2030-2033-15831 AbstractThe scalp is the most external and important barrier of the skull and brain. Burns in this area are rare, but often caused by high voltage injuries, fire, liquid or other heat sources.The aim of this paper is to present a series of cases of scalp burns of the last 10 years in the Hospital del Trabajador de Santiago (Chile). This is a retrospective and descriptive study. We analyzed the demography and treatment of patients requiring hospitalization and we reviewed the literature.There were 2.266 visits for head burns, of which 34 patients consulted with scalp burns, 11 of them were hospitalized. Most were due to electrical burns, 4 patients, and fire, 4 patients. In the treatment, highlighted the use in a case of free flap and local advancement flaps. In the management of sequelae, expanders and then local advancement flaps were performed.Only a small proportion of patients attending with head burns had scalp burns. Most were treated on as outpatient and did not require further action. The group of patients with electrical burns required more aggressive treatments while the management of the sequelaes is done with expanders and local advancement flaps.

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Section: Discussionunclassified

Experiencia en el tratamiento de quemaduras de cuero cabelludo

Pereira

Léniz

Enríquez

et al. 2013

Cir. plást. iberolatinoam.

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“…Additional studies with more detailed observations would be necessary to identify all important changes. With in vivo silicone implantation, postoperative formation of a fibrous connective tissue capsule around the silicone implant is inevitable [3,13,30,32]. Essentially, the formation of this capsule is one of the body's defense mechanisms to completely isolate foreign bodies [7,9,[30][31][32].…”

Section: Discussionmentioning

confidence: 99%

“…With in vivo silicone implantation, postoperative formation of a fibrous connective tissue capsule around the silicone implant is inevitable [3,13,30,32]. Essentially, the formation of this capsule is one of the body's defense mechanisms to completely isolate foreign bodies [7,9,[30][31][32]. Vistnes et al [30] reported that in the acute stage of the initial inflammatory response, if phagocytes failed to remove large implants as a silicone sheet, collagenous fibers would infiltrate and be arranged directly around the implant to form a fibrous tissue capsule isolating the foreign body.…”

Section: Discussionmentioning

confidence: 99%

“…During the entire chronic stage, acid mucopolysaccharides were associated predominantly with the collagenous fibers. The foreign body reaction process that produces the fibrous capsule continues as long as the implant is present but disappears when the silicone sheet is completely removed [30][31][32]. Formation and development of this fibrous capsule are influenced by several factors such as properties of the silicone implant [7,30], local surgical trauma [9,14,30], postoperative formation of seroma or hematoma [30], and bleeding from local small vessels [29][30][31].…”

Section: Discussionmentioning

confidence: 99%

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Influence of Silicone Sheets on Microvascular Anastomosis

Kloeppel

Hoehnke

Staudenmaier

2008

Clinical Orthopaedics &Amp; Related Research

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“…Antonyshyn et al (8) reported complications necessitating some revision in the original treatment plan in 39% of patients, without compromising the final result. Because major complications requiring the removal of tissue expander was as high as 38%, careful outpatient observation and constant follow-up has been recommended by some authors (9).…”

Section: Discussionmentioning

confidence: 99%