Motamed S, Niazi F, Atarian S, Motamed A
Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Burns. 2008 Sep;34(6):878-84. doi: 10.1016/j.burns.2007.11.018. Epub 2008 Apr 2.
Tissue expanders have become useful adjuvants in reconstruction after burn. This study reviews experience with of tissue expanders in the treatment of head and neck burns, from April 2002 to February 2007; 82 expanders were used for 72 patients, all of whom underwent reconstruction at least 6 months after complete healing. The only major difference in this study from other techniques was the preoperative approach for selecting flaps and implants. The use is described of tissue expanders to enhance the area and provide suitable tissue for large expanded flaps for reconstruction of the face and neck. This was based on previous laboratory studies demonstrating that large flaps with very narrow pedicles remain well vascularised and can be transposed to cover very large defects. Satisfactory results were achieved after reconstruction in all cases. Tissue expansion, if carefully planned and conducted, is part of the treatment of choice for post-burn reconstruction of the head and neck, allowing an expanded flap suitable for versatile coverage.
组织扩张器已成为烧伤后重建中有用的辅助手段。本研究回顾了2002年4月至2007年2月期间使用组织扩张器治疗头颈部烧伤的经验；82个扩张器用于72例患者，所有患者均在完全愈合后至少6个月进行重建。本研究与其他技术的唯一主要区别在于选择皮瓣和植入物的术前方法。描述了使用组织扩张器来扩大面积并为用于面部和颈部重建的大型扩张皮瓣提供合适的组织。这是基于先前的实验室研究，该研究表明蒂非常窄的大型皮瓣仍具有良好的血供，并且可以转移以覆盖非常大的缺损。所有病例重建后均取得满意结果。如果精心规划和实施，组织扩张是头颈部烧伤后重建的首选治疗方法之一，可提供适合多种覆盖的扩张皮瓣。
