Management of anterolateral thigh free Flap donor site defects with a continuous external tissue expander

Senchenkov, Alex; Agag, Richard L.; Lee, Johnson; Patel, Ashit; Valerio, M.B.A. Ian L.

doi:10.1002/micr.22326

Cited by 19 publications

(21 citation statements)

References 20 publications

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Section: Discussionmentioning

confidence: 99%

“…10 By delivering a continuous force to the wound edges, it expands the surrounding tissue, allowing for closure shortly after application. 10 DermaClose is applied directly to open wounds, eliminating the need for STSG and staged closure. We believe that continuous external tissue expansion is a safe alternative method for closure of the pediatric ALT donor site, avoiding the undesirable sequelae of STSG.…”

Section: Discussionmentioning

confidence: 99%

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Use of Innovative Technologies in Pediatric Lower Extremity Reconstruction

Mountziaris

Soteropulos

Rezak

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Summary:The anterolateral thigh (ALT) free flap has proven to be a reliable option for the coverage of soft tissue defects in adults and more recently in the pediatric population. When considering the use of the ALT flap in the pediatric patient, there are few studies that detail techniques specific to pediatric free flap management. We present a unique case of a 14- × 8-cm ALT flap used for traumatic wound coverage in a distal tibial injury in a 6-year-old girl. This case highlights innovative techniques in pediatric perioperative free flap monitoring and the use of continuous external tissue expansion to achieve delayed primary closure of the donor site.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Use of Innovative Technologies in Pediatric Lower Extremity Reconstruction

Mountziaris

Soteropulos

Rezak

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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“…[18][19][20][21] The device can be applied to open wounds, potentially avoiding more complex or invasive reconstruction options. 22…”

Section: Protein Synthesismentioning

confidence: 99%

“…However, donor site issues can include pain, prolonged wound healing, and difficulty achieving immediate closure. 22,25 Clinical evidence. CETE may be used for donor site closure after reverse sural flaps.…”

Section: Closure Of Flap Donor Sitesmentioning

confidence: 99%

“…28 A retrospective review noted that direct closure without skin graft was beneficial for amputees, as it allowed a more durable skin interface with the prosthesis (see Closure of Flap Donor Sites section). 22 A retrospective review of blast-related injuries treated with CETE reported successful delayed primary closure in 12 of 14 patients. 18 The mean time to wound coverage was 4.4 days (range, 1-6 days).…”

Section: Trauma and Amputationsmentioning

confidence: 99%

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Multidisciplinary Application of an External Tissue Expander Device to Improve Patient Outcomes: A Critical Review

Dardano

Klapper

Parekh

et al. 2020

Advances in Wound Care

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Significance: Continuous external tissue expansion (CETE) is a versatile tool in soft tissue injury management, and could be an addition to the traditional reconstructive ladder. Recent Advances: This critical review discusses the principles and application of CETE, covering a company-sponsored consensus meeting on this emerging technology and highlighting the DermaClose Ò (Synovis Micro Companies Alliance, Inc., Birmingham, AL) device's unique approach to soft tissue injury management. There is clinical evidence to support the use of CETE in the management of a number of wound types, including fasciotomy, trauma, amputation, and flap donor sites. The device can be applied to open wounds, potentially avoiding the need for a skin graft or other more complex or invasive reconstruction options. DermaClose applies constant tension without restricting blood flow and does not require repeated tightening. Critical Issues: CETE is becoming more widely used by surgeons of different specialties, and numerous reports describing its efficacy and safety in wound management have been published. Surgeons using CETE must follow the correct technique and select patients carefully to achieve optimal outcomes. However, there is no single source of information or consensus recommendations regarding CETE application. Future Directions: Prospective evidence on the efficacy and safety of CETE in clinical practice is required to communicate the best techniques and share important experiences. This will help to solidify its place in the reconstructive ladder as a valuable additional option for surgeons.

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Antimicrobial Peptide‐Based Electrospun Fibers for Wound Healing Applications

Dart

Bhave

Kingshott

2019

Macromolecular Bioscience

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Current wound healing treatments such as bandages and gauzes predominantly rely on passively protecting the wound and do not offer properties that increase the rate of wound healing. While these strategies are strong at protecting any infection after application, they are ineffective at treating an already infected wound or assisting in tissue regeneration. Next‐generation wound healing treatments are being developed at a rapid pace and have a variety of advantages over traditional treatments. Features such as gas exchange, moisture balance, active suppression of infection, and increased cell proliferation are all central to developing the next successful wound healing dressing. Electrospinning has already been shown to have the qualities required to be a key technique of next generation polymer‐based wound healing treatments. Combined with antimicrobial peptides (AMPs), electrospun dressings can indeed become a formidable solution for the treatment of both acute and chronic wounds. The literature on combining electrospinning and AMPs is now starting to increase and this review aims to give a comprehensive overview of the current developments that combine electrospinning technology and AMPs in order to make multifunctional fibers effective against infection in wound healing.

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Management of anterolateral thigh free Flap donor site defects with a continuous external tissue expander

Cited by 19 publications

References 20 publications

Use of Innovative Technologies in Pediatric Lower Extremity Reconstruction

Use of Innovative Technologies in Pediatric Lower Extremity Reconstruction

Multidisciplinary Application of an External Tissue Expander Device to Improve Patient Outcomes: A Critical Review

Antimicrobial Peptide‐Based Electrospun Fibers for Wound Healing Applications

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