کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3105792 | 1191694 | 2011 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Management of burn deformities using tissue expanders: A retrospective comparative analysis between tissue expansion in limb and non-limb sites Management of burn deformities using tissue expanders: A retrospective comparative analysis between tissue expansion in limb and non-limb sites](/preview/png/3105792.png)
The tissue expansion technique is in the armamentaria in reconstructive surgery. It provides donor skin that is an optimal match in terms of skin color, texture, sensation and hair-bearing characteristics. Literature shows its applications in all regions from the head to the feet. Tissue expansion in extremities, however, carries a high rate of complications. Fortunately, not every complication in tissue expansion means failure.ObjectiveA retrospective comparative analysis between tissue expansion in limb and non-limb sites in burn deformities.Materials and methodsSixty expanders in 53 patients were included. These constitute the experience of a single surgeon. Forty expanders (66.6%) were applied to non-limb sites and 20 expanders (33.3%) to limb sites. Indications of tissue expansion were burn alopecia, scarring and contracture. Complications and failures were recorded.ResultsNon-limb expanders had 10% rate of complications and 2.5% of failure. Limb expanders showed 30% complications and 15% failure. Statistical analysis showed that the difference was non-significant at this statistical power.ConclusionThe non-significant difference regarding complication and failure rates between limb and non-limb expanders in this study encourages the use of tissue expanders in extremities. Close follow-up of patients will prevent many expanders that develop complications from becoming failures.
Journal: Burns - Volume 37, Issue 3, May 2011, Pages 490–494