Poirier P, Passuti N, Touchais S, Bainvel J V
Clinique Chirurgicale Orthopédique, C.H.U., Nantes.
Rev Chir Orthop Reparatrice Appar Mot. 1993;79(5):418-22.
Tissue expansion spreads widely its field of application through the treatment of large cutaneous defects. Spinal surgery represents a new field for this technique. Iterative and large posterior midline approach can lead to skin necrosis and deep infection which imposes a second look attempt with ablation of orthopaedic devices. Tissue expansion associated with advancement flaps represents a less aggressive choice to treat such post-surgical complications saving regional skin and muscles rather than with conventional flaps. The authors report four cases in which such a technique was applied with long term satisfactory results.
组织扩张术通过治疗大面积皮肤缺损广泛拓展了其应用领域。脊柱外科手术是该技术的一个新应用领域。反复采用大的后正中入路可能导致皮肤坏死和深部感染，这就需要再次手术取出骨科植入物。与推进皮瓣相结合的组织扩张术是一种侵入性较小的治疗此类术后并发症的选择，它能够保留局部皮肤和肌肉，而不是采用传统皮瓣。作者报告了4例应用该技术并取得长期满意效果的病例。
