Baker S R, Swanson N A
Section of Facial Plastic and Reconstructive Surgery, University of Michigan Hospitals, Ann Arbor 48109-0312.
Arch Otolaryngol Head Neck Surg. 1990 Oct;116(10):1147-53. doi: 10.1001/archotol.1990.01870100041009.
Tissue expansion is indicated in the reconstruction of various defects of the head and neck in instances where there is inadequate adjacent tissue to allow either primary closure of the defect or repair with a local flap. It may also be indicated in instances where repair of a defect by an alternative method such as a local, regional, or distant flap will result in an unacceptable donor or recipient site deformity. Although tissue expansion is simplistic in concept, it does require judgment and indepth preoperative planning to ensure optimal results. The complication rate is high for tissue expansion in the head and neck, particularly in the cheek and neck area. Despite the frequency of complications, in the vast majority of cases the intended reconstruction is successful.
在头颈部各种缺损的重建中，当相邻组织不足以实现缺损的一期缝合或局部皮瓣修复时，组织扩张术是适用的。在通过替代方法（如局部、区域或远位皮瓣）修复缺损会导致不可接受的供区或受区畸形的情况下，组织扩张术也可能适用。尽管组织扩张术在概念上很简单，但它确实需要判断力和深入的术前规划以确保获得最佳效果。头颈部组织扩张术的并发症发生率很高，尤其是在面颊和颈部区域。尽管并发症很常见，但在绝大多数情况下，预期的重建是成功的。
