Tissue Expander Complications in the Pediatric Burn Patient A 10-Year Follow-up
Tissue Expander Complications in the Pediatric Burn Patient A 10-Year Follow-up
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DOI：
10.1097/sap.0b013e3182a884af
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发表时间：
2014-02-01
影响因子：
1.5
通讯作者：
Yakuboff, Kevin P.
中科院分区：
文献类型：
--
作者：
Patel, Parit A.;Elhadi, Haithem M.;Yakuboff, Kevin P.
背景资料：本研究是对我们之前发表的文献的10年随访，该文献回顾了小儿烧伤人群中组织扩张的并发症发生率。本研究的目的是，以确定我们的机构经验与组织扩张器保持稳定，在随后的10 years.Methods：有240例患者被确定在一个主要的小儿烧伤中心谁进行重建与组织扩张器（256组织扩张器）从1996年至2006年。通过回顾患者病历，回顾性获得数据。结果：256例扩张器中，发生绝对并发症36例（14.1%），发生相对并发症26例（10.2%）。本研究与我们之前的研究在所有部位的总体并发症发生率和并发症方面没有统计学差异。当头皮是手术部位时，并发症发生率最高。与其他皮肤制剂相比，聚维酮碘皮肤制剂与感染相关并发症减少10%相关。手术医生或年龄的病人没有被发现与增加并发症rates.Conclusions：改变我们的组织扩张器协议后，在我们的机构的并发症发生率保持稳定，在10年的随访期间。在小儿烧伤人群中，组织扩张仍然是一种安全有效的重建选择，并发症发生率可接受。
Background: This study is a 10-year follow-up to our previous publication reviewing the complication rates of tissue expansion in the pediatric burn population. The purpose of this study was to determine if our institutional experience with tissue expanders had remained stable during the subsequent 10 years.Methods: There were 240 patients who were identified at a major pediatric burn center who underwent reconstruction with a tissue expander (256 tissue expanders) from 1996 to 2006. Data were obtained retrospectively by reviewing patient medical records. Complications were categorized into absolute and relative complications.Results: Absolute complications occurred in 36 (14.1%) of 256 expanders placed and relative complications occurred in 26 (10.2%) of 256 expanders placed. There was no statistical difference between this study and our previous study for overall complication rates and complications for all sites. The highest complication rate occurred when the scalp was a surgical site. Betadine skin preparation was associated with a 10% reduction in infection-related complications compared to other skin preparations. The operating surgeon or age of patient was not found to be associated with increased complication rates.Conclusions: After changing our tissue expander protocol, the complication rates at our institution have remained stable during the 10-year follow-up period. Tissue expansion in the pediatric burn population continues to be a safe and effective reconstructive option with acceptable complication rates.