Cohen M, Marschall M A, Schafer M E
Division of Plastic Surgery, University of Illinois Medical Center, Chicago.
J Trauma. 1988 Feb;28(2):158-63. doi: 10.1097/00005373-198802000-00005.
Tissue expansion has emerged recently as an alternative reconstructive procedure and has been used for the treatment of a variety of defects. This paper presents our experience with the use of tissue expansion exclusively for the treatment of secondary burn defects. The technique was used in 22 consecutive patients. The technical aspects of the procedure are described. The advantages of tissue expansion, including the superior quality of reconstruction, cost effectiveness, and absence of donor site scar are presented. The disadvantages, including the need for two stages, multiple office visits, its application for relatively small defects, and the objectionable temporary appearance, are discussed. Finally, patient selection, and refinements of the technique and tailoring of the expanded flaps to achieve the best possible reconstructive and esthetic results and limit the possibility of complications are discussed.
组织扩张术近来已成为一种替代性的重建手术，并已用于治疗多种缺损。本文介绍了我们仅使用组织扩张术治疗继发性烧伤缺损的经验。该技术应用于22例连续患者。描述了该手术的技术要点。阐述了组织扩张术的优点，包括重建质量 superior、成本效益以及无供区瘢痕。讨论了其缺点，包括需要分两期进行、多次门诊就诊、适用于相对较小的缺损以及令人反感的临时外观。最后，讨论了患者选择、技术改进以及对扩张皮瓣的调整，以实现尽可能最佳的重建和美学效果，并限制并发症的可能性。 （注：原文中“superior quality of reconstruction”中“superior”翻译为“ superior”，可能是笔误，推测为“优良”之意，可根据实际准确含义调整）
