| Tissue expanders for soft tissue reconstruction in the head and neck area-requirements and limitations. | |
| | |
MedLine Citation:
|
PMID: 22562078 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
OBJECTIVES: The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. MATERIALS AND METHODS: Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. RESULTS: The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. CONCLUSIONS: The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 cm(2)) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. CLINICAL RELEVANCE: The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. |
| | |
Authors:
|
Jörg Handschel; Stefanie Schultz; Rita A Depprich; Ralf Smeets; Christoph Sproll; Michelle A Ommerborn; Christian Naujoks; Norbert R Kübler; André Zimmermann |
Related Documents
:
|
22576648 - High success rate for augmentation compression plating leaving the nail in situ for ase... 9511008 - An improved colostomy technique in turkeys. 15533968 - A simple continuous pattern using absorbable suture for perineal urethrostomy in the ca... 6992018 - A modified suture placement technique to avoid suture drag or "cheese wire" effect. 20613568 - Linear-type orbital floor fracture with or without muscle involvement. 2912628 - The tension-stress effect on the genesis and growth of tissues: part ii. the influence ... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-5-6 |
Journal Detail:
|
Title: Clinical oral investigations Volume: - ISSN: 1436-3771 ISO Abbreviation: - Publication Date: 2012 May |
Date Detail:
|
Created Date: 2012-5-7 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9707115 Medline TA: Clin Oral Investig Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department for Cranio- and Maxillofacial Surgery, Heinrich-Heine-University Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany, handschel@med.uni-duesseldorf.de. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on dental s...
Next Document: Apheresis and transplant of hematopoietic progenitor cells (HPC) from allogeneic donors of age above...