Neligan P C, Peters W J
Ross Tilley Burn Centre, Wellesley Hospital, Toronto, Ont, Canada.
Ann Plast Surg. 1989 Mar;22(3):203-10. doi: 10.1097/00000637-198903000-00007.
The use of tissue expansion to facilitate burn scar reconstruction is described. Twelve patients underwent burn scar reconstruction using a total of 42 expanders. Expansion was carried out at two- to three-day intervals, usually commencing as early as two to three days following insertion of the expander. In 5 of the 12 patients, previously scarred skin was expanded to facilitate excision of areas of more dense scarring and scar contractures, more conventional methods having previously failed. Two of the expanders failed to achieve adequate expansion because of exposure of the device. One of the patients in whom the expander failed refused to have it reinserted. Complications included implant exposure (9 of 42), injection port exposure (1 of 42), infection (4 of 42), and a transient facial nerve palsy in 1 patient who was having her cheeks expanded. Except for one case, implant exposure did not preclude continued expansion and ultimate reconstruction.
本文描述了使用组织扩张术促进烧伤瘢痕重建的情况。12例患者共使用了42个扩张器进行烧伤瘢痕重建。扩张每隔两到三天进行一次，通常最早在扩张器植入后两到三天开始。在12例患者中的5例中，先前瘢痕化的皮肤被扩张，以利于切除瘢痕更致密和瘢痕挛缩的区域，而先前采用的更传统方法均告失败。42个扩张器中有2个因装置暴露而未能实现充分扩张。扩张器失败的1例患者拒绝再次植入。并发症包括植入物暴露（42例中的9例）、注射端口暴露（42例中的1例）、感染（42例中的4例），以及1例在扩张脸颊的患者出现短暂性面神经麻痹。除1例病例外，植入物暴露并不妨碍继续扩张和最终重建。
