El-Saadi M M, Nasr M A
Faculty of Medicine, Zagazig University, Zagazig, Sharkia, Egypt.
J Plast Reconstr Aesthet Surg. 2008;61(4):413-8. doi: 10.1016/j.bjps.2007.06.024. Epub 2007 Sep 10.
Tissue expansion has gained wide application in the reconstruction of scalp defects in adults and children. However, the main concern in the use of scalp expansion in the paediatric population has been the risk of skull deformation. This study shows the application of 40 expanders in 32 patients in different skull areas in the paediatric age group from 2 to 7 years. The effect of expansion on the skull was studied by CT imaging (pre-expansion, post-expansion and 3 months after expander extraction). The post-expansion CT showed multiple bony changes as well as changes at suture lines.
组织扩张术在成人和儿童头皮缺损的重建中已得到广泛应用。然而,在儿科人群中使用头皮扩张术的主要担忧一直是颅骨变形的风险。本研究展示了在2至7岁儿科年龄组的不同颅骨区域,对32例患者应用了40个扩张器。通过CT成像(扩张前、扩张后以及取出扩张器后3个月)研究了扩张对颅骨的影响。扩张后的CT显示出多处骨质变化以及缝线处的变化。