Department of Plastic Surgery, ST Fatima Hospital, Iran University of Medical Sciences, Tehran, Iran.
J Plast Reconstr Aesthet Surg. 2009 Nov;62(11):e413-20. doi: 10.1016/j.bjps.2008.03.044. Epub 2008 Aug 8.
Successful inflation of a tissue expander (TE) and coverage of the face with tissue of similar colour and texture is usually limited by the amount of skin generated during the reconstruction process. Overexpanding the TE device generates an increased flap size and an overall better reconstructive outcome.
A total of 86 TEs were inserted into 48 burn patients with head and neck burn scars. In each case, a TE was inserted with subsequent overexpansion to 2-4 times the manufacturer's stated maximum volume.
Using the above technique, we gained more transferable skin, which was then used to cover the defects. The rates of major and minor complications were the same as those obtained in previous studies. Illustrations of several representative cases are also included.
Overinflation of smaller TEs minimises complication rates typically associated with this procedure. Cutaneous overexpansion can usually achieve the desired flap dimensions by overinflation of the implant well beyond the manufacturer's stated maximum volume, thus ensuring its success and allowing for better coverage of the defects.
成功地给组织扩张器（TE）充气并覆盖与面部颜色和质地相似的组织通常受到重建过程中产生的皮肤量的限制。过度扩张 TE 装置会增加皮瓣的大小，从而获得整体更好的重建效果。
总共将 86 个 TE 插入 48 名头颈部烧伤瘢痕的烧伤患者中。在每种情况下，都插入了一个 TE，并随后将其过度扩张至制造商规定的最大体积的 2-4 倍。
使用上述技术，我们获得了更多可转移的皮肤，然后将其用于覆盖缺陷。主要和次要并发症的发生率与之前研究中的结果相同。还包括了几个有代表性的病例的插图。
对较小的 TE 进行过度充气可最大限度地降低与该手术相关的并发症发生率。皮肤过度扩张通常可以通过过度充气使植入物超过制造商规定的最大体积来达到所需的皮瓣尺寸，从而确保手术成功并允许更好地覆盖缺陷。
