Manders E K, Schenden M J, Furrey J A, Hetzler P T, Davis T S, Graham W P
Plast Reconstr Surg. 1984 Oct;74(4):493-507. doi: 10.1097/00006534-198410000-00007.
Soft-tissue expansion complements existing reconstructive techniques and provides new vistas for the plastic surgeon. The technique finds use for overcoming a shortage of tissue, for obtaining skin with special desirable qualities, for creation of flaps otherwise not possible because of the resultant donor site or limited vascularity, for creation of flaps with functioning muscle and overlying soft tissue, and for minimizing flap donor-site problems. Careful planning should include patient counseling, optimum incision placement, and time for a leisurely, complete expansion. The surgery can often be performed under local anesthesia and expansion is tolerated well. Patients should be counseled that the incidence of major complications in an unselected series is 1 in 4 patients. Major complications, however, typically result in a delay in reconstruction and not tissue loss.
软组织扩张术是对现有重建技术的补充，为整形外科医生提供了新的视野。该技术可用于克服组织短缺，获取具有特殊理想特性的皮肤，创建因供区或血管有限而无法通过其他方式创建的皮瓣，创建带有功能肌肉和覆盖软组织的皮瓣，以及将皮瓣供区问题降至最低。仔细的规划应包括对患者的咨询、最佳切口位置的确定以及充足的时间进行从容、彻底的扩张。该手术通常可在局部麻醉下进行，患者对扩张的耐受性良好。应告知患者，在未经筛选的病例系列中，严重并发症的发生率为四分之一。然而，严重并发症通常会导致重建延迟，而非组织丢失。
