Tissue Expansion in the Pediatric Patient

Iconomou, Thomais; Michelow, Bryan J.; Zuker, Ronald M.

doi:10.1097/00000637-199308000-00008

Cited by 57 publications

(32 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 1976, Radovan used the tissue expander concept for reconstruction of the breast after mastectomy. Subsequently, the use of tissue expansion has been popularized among plastic surgeons and has become the treatment method of choice for many congenital and acquired defects in children and adults [1][2][3] . Expanders are silicone envelopes that have self-sealing injection ports ( Fig.…”

mentioning

confidence: 99%

Tissue expander complications in plastic surgery: a 10-year experience

et al. 2002

View full text Add to dashboard Cite

INTRODUCTION:Tissue expanders have been of great value in plastic surgery. Tissue expansion was developed for a specific indication; however, within a very short time, the concept of tissue expansion found wide applicability. From 1990 to 1999, 315 expanders in 164 patients were utilized. A retrospective analysis of complications and prognostic factors for complications were done. METHODS:The indications for tissue expansion were burns (50%), trauma (32%), and sequelae of previous surgery (8.8%). The expanders were inserted most frequently in the scalp, trunk and neck.RESULTS: There were 22.2% of complications and the most common were expander exposure (50%), infection (24%) and bad function of the expander (12.8%). The present study revealed an increased rate of minor complications in the group of 0 to 10 years of age and an increased rate of major complications for face and neck expansions compared to trunk expansion. There were no increased complication rates for the other age and anatomic site groups, previous expansion, concomitant expansion and type of expander used. CONCLUSIONS:The outcomes from tissue expansion procedures done in our hospital are similar to those reported in the literature. Tissue expansion is a good and safe technique.

show abstract

mentioning

confidence: 99%

Tissue expander complications in plastic surgery: a 10-year experience

et al. 2002

View full text Add to dashboard Cite

show abstract

“…Given that the risk of malignant disease is lower than previously reported, and that even after surgical treatment the risk does not disappear, especially in those children with a central nervous system component, we believe that it is appropriate to view the removal of the majority of the GCN as a reconstructive aesthetic surgical procedure rather than prophylactic cancer surgery (8)(9)(10)(11)(12). The advent of tissue expansion has increased the ability to remove a large portion of the GCN while offering a reasonable functional and aesthetic result.…”

Section: Discussionmentioning

confidence: 99%

“…Nevus cells could also, on occasion, be found after surgery at the skin closure sites or gradually migrating into the surface skin grafts (8,9). If the risk is much lower than reported previously, and the real chances of completely eradicating the risk is impossible, we believe it is therefore appropriate to say that GCN removal is first a reconstructive and aesthetic surgical procedure rather than prophylactic cancer surgery (10)(11)(12). This should highlight that it is no longer necessary or often appropriate to remove such lesions and leave significant functional impairment and cosmetic disfigurement (1,2).…”

mentioning

confidence: 94%

“…Despite of the high risk of complications, reconstruction with tissue expansion has been shown to be a very effective treatment option in the pediatric population (11). When surgery is indicated, one often starts with a minor operation consisting of a central elliptical resection within the nevus boundaries that serves to reduce the lesion and to give a better estimate of the depth of the lesion.…”

mentioning

confidence: 99%

“…When surgery is indicated, one often starts with a minor operation consisting of a central elliptical resection within the nevus boundaries that serves to reduce the lesion and to give a better estimate of the depth of the lesion. Very often, serial excision followed by tissue expansion is used to provide new tissue to create another flap, so that all available skin becomes usable for reconstruction (11).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Congenital giant nevocellular nevus of the back with deep extension to the fat and fascia

Jaeger¹

2006

CAN J PLAST SURG

View full text Add to dashboard Cite

MRO Jaeger, RM Zuker. Congenital giant nevocellular nevus of the back with deep extension to the fat and fascia. Can J Plast Surg 2006;14(1):45-48.The presence of deep pigmentation in a giant congenital nevus makes its complete removal very difficult and should be taken into consideration when planning for treatment. A clinical case in which the pigmented lesion was found to extend deep into the muscle fascia is described. The lesion was surgically removed with an acceptable functional and aesthetic result through the utilization of tissue expansion. The development of new surgical techniques and the expansion of laser technology will possibly provide new treatment options in the future. Emphasis should be placed on aesthetics and function, because the excision based only on oncological anticipation is no longer valid. The presence of deep pigmentation makes certain treatment options less effective than surgical ablation.Key Words: Giant congenital nevi; Laser; Tissue expanders Naevus cellulaire congénital géant dans le dos, avec pénétration profonde dans le tissu adipeux et le fascia La présence d'une pigmentation profonde dans un naevus congénital géant rend son excision complète très difficile, et cet aspect devrait être pris en considération lorsque vient le moment de planifier le traitement. Voici un cas clinique de lésion pigmentée avec pénétration profonde dans le fascia. La lésion a été excisée convenablement des points de vue fonctionnel et esthétique par le recours à des expanseurs tissulaires. La mise au point de nouvelles techniques chirurgicales et le développement de la technologie laser déboucheront peut-être sur l'élaboration d'autres traitements. Une attention particulière devrait être portée aux aspects esthé-tique et fonctionnel, parce qu'aujourd'hui l'excision fondée sur le seul critère de la prévision oncologique ne suffit plus. La présence d'une pigmentation profonde rend certains traitements moins efficaces que l'excision chirurgicale.

show abstract

Surgical interventions for the treatment of radiation‐induced alopecia in pediatric practice

Rannan‐Eliya

Rannan-Eliya

Graham

et al. 2006

Pediatric Blood & Cancer

View full text Add to dashboard Cite

Permanent alopecia can occur following treatment for pediatric malignant disease, especially cranial irradiation, resulting in identity and self-image problems. This late effect is usually addressed through external cosmesis and psychological adjustment. Surgical options are less commonly utilized. The experience of reconstructive procedures in patients at RLC NHS Trust, Alder Hey with alopecia is presented. Four patients had scalp tissue expansion and one had hair transplantation. The reconstructive options available are discussed as well as the potential opportunities and difficulties in this population. Post-radiotherapy alopecia can be successfully addressed by reconstructive surgery, and should be considered more often in this population.

show abstract

Tissue Expansion in the Pediatric Patient

Cited by 57 publications

References 0 publications

Tissue expander complications in plastic surgery: a 10-year experience

Tissue expander complications in plastic surgery: a 10-year experience

Congenital giant nevocellular nevus of the back with deep extension to the fat and fascia

Surgical interventions for the treatment of radiation‐induced alopecia in pediatric practice

Contact Info

Product

Resources

About