Cohen M, Marschall M A, Dolezal R F, Hanumadass M M
Division of Plastic and Reconstructive Surgery, University of Illinois Medical Center, Chicago.
J Burn Care Rehabil. 1989 May-Jun;10(3):220-5. doi: 10.1097/00004630-198905000-00007.
Tissue expansion has become firmly established as an acceptable and useful modality in the treatment of various soft tissue defects. This article relates our experience with this technique for the reconstruction of secondary burn deformities in 26 patients. Details of expander placement and use are discussed, as well as the results and complications in this series. The advantages of this method, including a superior quality reconstruction, limited donor site morbidity, and cost-effectiveness, are discussed. The disadvantages of several operative steps, multiple office visits, and the objectionable appearance during expansion are enumerated. Guidelines for patient selection and technique refinements are also considered to reduce complications and to achieve an optimal functional and aesthetic result.
组织扩张术已成为治疗各种软组织缺损的一种公认且有用的方法。本文讲述了我们用该技术为26例患者重建继发性烧伤畸形的经验。讨论了扩张器放置和使用的细节，以及该系列病例的结果和并发症。还讨论了该方法的优点，包括重建质量优越、供区发病率有限和成本效益高。列举了几个手术步骤、多次门诊就诊以及扩张过程中外观不佳等缺点。还考虑了患者选择和技术改进的指导原则，以减少并发症并实现最佳的功能和美学效果。
