Tissue expansion in pediatric patients: a 10-year review

Bjornson, Lindsay; Bucevska, Marija; Verchere, Cynthia

doi:10.1016/j.jpedsurg.2018.09.002

Cited by 20 publications

(23 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, we observed a 22% complication rate per expander, which is similar to the 20.4% complication rate per expander from our previous more comprehensive review, 27 and comparable to the existing pediatric literature showing slightly higher numbers of complications per expander: Patel et al (24%), 28 Duclert-Bompaire et al (26%), 29 and Bozkurt et al (28%). 30 We completely acknowledge that our limited sample size does not allow us to draw definitive conclusions as to whether TE increases scoliosis risk.…”

Section: Nevi and Scoliosissupporting

confidence: 88%

Can Tissue Expansion Reconstruction in the Trunk of Children Increase the Risk of Scoliosis?

et al. 2020

Self Cite

View full text Add to dashboard Cite

Introduction: We hypothesize that treatment of significant truncal lesions with truncal tissue expanders and subsequent flap surgery in pediatric patients may increase the risk of scoliosis. This study aims to investigate any relationship between tissue expansion (TE) and scoliosis and to compare the prevalence of scoliosis in our tissue expander population to the general population. Methods: Health records of patients who underwent truncal TE at BC Children’s Hospital between 1997 and 2017 were retrospectively reviewed and analyzed. The cross-sectional component of the study consisted of radiological imaging to establish the presence or absence of scoliosis. Results: We identified 28 patients who underwent truncal TE over the study period. Ten had a scoliosis X-ray on their chart or as a part of the study. Three (10.7%) patients were identified as having developed scoliosis after TE. Conclusions: We recommend that pediatric TE patients be made aware of the potential complication of scoliosis and be followed closely in the years during and after their treatment, in order to allow for preventative measures, early diagnosis and early management (if required).

show abstract

Section: Nevi and Scoliosissupporting

confidence: 88%

Can Tissue Expansion Reconstruction in the Trunk of Children Increase the Risk of Scoliosis?

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…Although skin expansion helps create a large amount of tissue to help reduce the number of surgeries, the placement of an expansion device has several disadvantages, including a long treatment schedule, high cost, prolonged pumping process, pain, and difficulty in cooperation in children [11] . The complication rate of tissue expansion is very high in children, ranging from 7.5 to 42 % [12] , including infection, expander exposure, and skin necrosis [13] , [14] . Serial excision is a multi-step procedure that removes lesions in an inelastic area using multiple incisions to achieve complete removal [9] .…”

Section: Discussionmentioning

confidence: 99%

Serial excision surgery for giant dorsal congenital melanocytic nevus: Case report

Dung¹,

Sơn²,

Thuý³

et al. 2023

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…The most recent studies also had infection and extrusion as the most frequent complications 5,15,19,31 . Table 3 shows that expansion site influences complications rates, with a higher incidence of complications in expanders positioned in upper and lower limbs (p <0.05), as found by Bozkurt et al 5 and Elshahat et al 19 (lower limbs is the site where complications happen more frequently and have higher rates of reconstruction's failures).…”

Section: Frommentioning

confidence: 99%

Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study

Vana

Lobato

Bragagnollo

et al. 2021

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

Background: tissue expanders have high relevance in plastic surgery and among indications it is worth mentioning their use in the treatment of burn reconstruction. Although it shows good results, its use requires special care because some complications can interrupt the reconstruction process. The objective of this study was to report the experience of the Clinics Hospital (University of Sao Paulo) with the use of tissue expanders to treat burn sequelae, establishing the incidence of complications, and identifying risk factors for their occurrence. Methods: a retrospective, observational, and analytical study, evaluating the use of expanders in burns sequelae treatment from 2009 to 2018. Results: 245 expanders were placed in 84 patients, 215 were female, with a mean age of 19.96 years, being 40% in the trunk and 20% in the scalp, with a predominance of rectangular shape in 76.7% of cases. Complications were classified as major and minor.Complications occurred in 17.95% of cases, and extrusion and infection were the most common. There was a higher incidence of complications in expanders used in the upper and lower limbs as well as in those who did not undergo concomitant expansion (p <0.05), with an even higher chance of major complications in patients submitted to additional expansion. From 2009 to 2018, we observed a decrease in the incidence of complications. Conclusion: the complication rate (17.95%) is similar to other studies of the literature, there was a higher rate of complication with expanders placed in the limbs and a higher rate of major complications when additional expansion was done.

show abstract

Tissue expansion in pediatric patients: a 10-year review

Cited by 20 publications

References 25 publications

Can Tissue Expansion Reconstruction in the Trunk of Children Increase the Risk of Scoliosis?

Can Tissue Expansion Reconstruction in the Trunk of Children Increase the Risk of Scoliosis?

Serial excision surgery for giant dorsal congenital melanocytic nevus: Case report

Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study

Contact Info

Product

Resources

About