de Agustín J C, Morris S F, Zuker R M
Division of Plastic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.
Cir Pediatr. 1994 Oct;7(4):174-8.
Tissue expansion has gained increased acceptance in postburn reconstruction. In this study, the clinical outcome in 17 paediatric burn patients is outlined. A total of 46 tissue expanders were inserted for the reconstruction of postburn scalp alopecia (n = 11) and burn scars (n = 6). The average size of soft tissue defect was 124 cm2. Mean followup was 19 months. The overall outcome in most cases was excellent, however, complications were common (37%) and included infection, exposure, port loss, and partial flap necrosis. Five patients in the scalp reconstruction group required transfusion (45%). Tissue expansion in paediatric burn reconstruction is a useful technique which may yield superb results, however, careful surgical planning is essential to avoid complications.
组织扩张术在烧伤后重建中越来越被广泛接受。在本研究中，概述了17例小儿烧伤患者的临床结果。总共植入了46个组织扩张器，用于重建烧伤后头皮脱发（n = 11）和烧伤瘢痕（n = 6）。软组织缺损的平均面积为124平方厘米。平均随访时间为19个月。大多数病例的总体结果良好，然而，并发症很常见（37%），包括感染、外露、扩张器丢失和部分皮瓣坏死。头皮重建组中有5例患者需要输血（45%）。小儿烧伤重建中的组织扩张术是一种有用的技术，可能会产生极佳的效果，然而，仔细的手术规划对于避免并发症至关重要。
