Hudson D A, Grobbelaar A O
Department of Plastic and Reconstructive Surgery, Red Cross Childrens' Hospital, Cape Town, South Africa.
Burns. 1995 May;21(3):209-11. doi: 10.1016/0305-4179(95)80011-c.
The outcome of 25 children who underwent reconstruction of the head and neck with tissue expanders is described. Fourteen boys and 11 girls with a mean age of 6.2 years (range 3-11 years) had 36 tissue expanders inserted. Five of the expanders extruded and five children suffered other expander-related complications. The best aesthetic results were achieved in the scalp and the poorest results occurred where expanded neck skin was transposed into the face. Tissue expansion is a useful method for reconstruction of the head and neck in burned children. However patients require careful selection in order to achieve optimal results. Meticulous attention to detail is required to reduce the incidence of complications.
本文描述了25例接受组织扩张器进行头颈部重建手术患儿的治疗结果。14名男孩和11名女孩，平均年龄6.2岁（范围3 - 11岁），共植入36个组织扩张器。其中5个扩张器发生外露，5名患儿出现其他与扩张器相关的并发症。头皮部位的美学效果最佳，而颈部扩张皮肤转移至面部的效果最差。组织扩张术是烧伤患儿头颈部重建的一种有效方法。然而，为了获得最佳效果，需要仔细挑选患者。必须对细节予以精心关注，以降低并发症的发生率。
