Manders E K, Graham W P, Schenden M J, Davis T S
Ann Plast Surg. 1984 Apr;12(4):305-12. doi: 10.1097/00000637-198404000-00001.
In three children aged 3 to 8 years with large scalp defects temporary expanders of silicone elastomer were inserted under the scalp above the pericranium and under the galea through an incision at the junction of the defect and the normal scalp. Over the following six to eight weeks, the expanders were inflated weekly or semiweekly with injections of saline. During expansion, hair growth continued. When the scalp flap expansion was completed, the scalp margin was advanced. Two of the 3 patients required additional expansion, so a deflated expander was left under the scalp. The entire defect was covered in each case. This technique has wide application for a variety of reconstructive problems.
在3名3至8岁患有大面积头皮缺损的儿童中，通过在缺损与正常头皮交界处的切口，将硅酮弹性体临时扩张器插入颅骨膜上方和帽状腱膜下方的头皮下。在接下来的六至八周内，每周或每两周通过注射生理盐水对扩张器进行充气。在扩张过程中，头发生长持续。当头皮瓣扩张完成后，推进头皮边缘。3例患者中有2例需要额外扩张，因此在头皮下留置了一个已放气的扩张器。在每种情况下，整个缺损均被覆盖。该技术在各种重建问题中具有广泛的应用。
