Versatility of Tissue Expansion in Head and Neck Burn Reconstruction
Versatility of Tissue Expansion in Head and Neck Burn Reconstruction
复制标题
头颈部烧伤重建中组织扩张的多功能性
DOI：
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发表时间：
1998
影响因子：
1.5
通讯作者：
Rod J. Rohrich
中科院分区：
文献类型：
--
作者：
J. Chun;Rod J. Rohrich
自从 Radovan 于 1978 年推广该技术以来，组织扩张已得到广泛的应用。组织扩张的一个有用应用是烧伤后头部和颈部的重建。 1986年7月至1990年3月，25名烧伤患者使用组织扩张器进行了头颈部重建。进行了回顾性图表审查。平均年龄24岁，年龄范围9个月至46岁。 14 名男性和 11 名女性接受了治疗。总共放置了 51 个扩张器，最常见的扩张器位置是脸颊、颈部和头皮。烧伤至重建平均时间为22.7个月。放置扩张器的操作时间为 40 至 180 分钟。全面扩张的平均时间为 86 天。主要并发症是需要额外手术的并发症，包括 1 例裂开、1 例感染和 1 例端口故障。主要并发症发生率为12%。轻微并发症是那些不会中断扩张过程或需要任何手术干预的并发症。轻微并发症发生率为 32%，包括 3 例暴露、3 例伤口裂开、1 例血清肿和 1 例植入物破裂。轻微并发症很常见，尽管保守治疗并不会影响总体结果。尽管主要并发症发生率为 12%，但所有患者最终均实现了重建。本回顾性综述表明，组织扩张是治疗头部和颈部烧伤的一种多功能辅助手段，并且该区域的重建可以实现良好的美容效果。
Tissue expansion has enjoyed a wide range of applications since the technique was popularized by Radovan in 1978. A useful application of tissue expansion is in the reconstruction of the head and neck following burn injury. From July 1986 to March 1990, 25 patients underwent head and neck reconstruction for burn injury using tissue expanders. A retrospective chart review was undertaken. The average age was 24 years, and the age range was 9 months to 46 years. Fourteen males and 11 females were treated. A total of 51 expanders were placed, and the most common locations of the expanders were the cheeks, neck, and scalp. The time period from burn injury to reconstruction averaged 22.7 months. Operative time for placement of the expanders ranged from 40 to 180 minutes. The average time for full expansion was 86 days. Major complications were those that required an additional operative procedure, and included one dehiscence, one infection, and one port failure. The major complication rate was 12%. Minor complications were those that did not interrupt the expansion process or require any operative intervention. The minor complication rate was 32%, and included three cases of exposure, three cases of wound dehiscence, one seroma, and one ruptured implant. Minor complications were frequent, although when managed conservatively they did not compromise the overall outcome. Despite a major complication rate of 12%, final reconstruction was achieved in all patients. This retrospective review demonstrates that tissue expansion is a versatile adjunct in the treatment of burn injuries to the head and neck, and reconstruction in this area can be accomplished with excellent cosmetic results.