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Versatile Use of Skin Expanders in Facial Plastic Surgery

Versatile Use of Skin Expanders in Facial Plastic Surgery Abstract • Large soft-tissue resection defects of the face and scalp present an arduous technical problem for the facial plastic surgeon. Successfully matching tissue coverage with similar skin color and texture is usually limited by the amount of available local skin. Also, the need to limit distortion of fixed anatomic sites when harvesting local skin must be addressed. With the advent and utilization of soft-tissue expanders, the availability of local skin is increased and anatomic distortions are limited. This article describes the versatile use of skin expansion in facial plastic and reconstructive surgery. Expansion techniques include long-term expansion for scalp and cervicofacial defects. Acute intraoperative expansion techniques address repair of perioral, labial, and nasal mucosal lining defects. The success, limitations, and complications of these techniques are reviewed. (Arch Otolaryngol Head Neck Surg. 1992;118:333-337) References 1. Nordstrom REA, Devine JW. Scalp stretching with a tissue expander for closure of scalp defects . Plast Reconstr Surg . 1985;75:578-581.Crossref 2. Kabaker SS, Kridel RW, Krugman ME, Swenson RW. Tissue expansion in the treatment of alopecia . Arch Otolaryngol Head Neck Surg . 1986;112:720-725.Crossref 3. Baker SR, Swanson NA. Clinical applications of tissue expansion in head and neck surgery . Laryngoscope . 1990; 100:313-319. 4. Sasaki GM. Intraoperative sustained limited expansion (ISLE) as an immediate reconstructive technique . Clin Plast Surg . 1989;14:563-573. 5. Romo T, Foster CA. Nasal septal perforation . In: Gates GA, ed. Current Therapy in Otolaryngology—Head and Neck Surgery . Burlington, Ontario: BC Decker Inc; 1990:298-301. 6. Sasaki GM, Pang CY. Pathophysiology of skin flaps raised on expanded skin . Plast Reconstr Surg . 1984;74:59-65.Crossref 7. Cherry GW, Austad ED, Pasyk KA, Rohrich RJ. Increased survival and vascularity of random-pattern skin flaps elevated in controlled, expanded skin . Plast Reconstr Surg . 1983;72:680-685.Crossref 8. Austad ED, Pasyk KA, McClatchey KD, Cherry GW. Histomorphologic evaluation of guinea pig skin and soft tissue expansion after controlled tissue expansion . Plast Reconstr Surg . 1983;70:704-710.Crossref 9. Gibson T. The physical properties of skin . In: Converse JM, ed. Reconstructive Plastic Surgery . Philadelphia, Pa: WB Saunders; 1977;1:70-77. 10. Kuriloff DB, Goldsher M, Blaugrund SM, Krespi YP. Controlled laryngoplasty for vocal cord medialization: a technique using tissue expansion . Laryngoscope . 1990;100:615-622.Crossref 11. Manders EK, Schenden MJ, Furrey JA, Hetzler PT, Davis TS, Graham WP. Soft tissue expansion: concepts and complications . Plast Reconstr Surg . 1984;74:493-507.Crossref 12. Argenta LC, Watanabe MJ, Grabb WC. The use of tissue expansion in head and neck reconstruction . Clin Plast Surg . 1983;11:31-38.Crossref 13. Marks MW, Argenta LC, Thornton JW. Rapid expansion: experimental and clinical experience . Clin Plast Surg . 1987;14:435-445. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Versatile Use of Skin Expanders in Facial Plastic Surgery

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Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1992.01880030125025
Publisher site
See Article on Publisher Site

Abstract

Abstract • Large soft-tissue resection defects of the face and scalp present an arduous technical problem for the facial plastic surgeon. Successfully matching tissue coverage with similar skin color and texture is usually limited by the amount of available local skin. Also, the need to limit distortion of fixed anatomic sites when harvesting local skin must be addressed. With the advent and utilization of soft-tissue expanders, the availability of local skin is increased and anatomic distortions are limited. This article describes the versatile use of skin expansion in facial plastic and reconstructive surgery. Expansion techniques include long-term expansion for scalp and cervicofacial defects. Acute intraoperative expansion techniques address repair of perioral, labial, and nasal mucosal lining defects. The success, limitations, and complications of these techniques are reviewed. (Arch Otolaryngol Head Neck Surg. 1992;118:333-337) References 1. Nordstrom REA, Devine JW. Scalp stretching with a tissue expander for closure of scalp defects . Plast Reconstr Surg . 1985;75:578-581.Crossref 2. Kabaker SS, Kridel RW, Krugman ME, Swenson RW. Tissue expansion in the treatment of alopecia . Arch Otolaryngol Head Neck Surg . 1986;112:720-725.Crossref 3. Baker SR, Swanson NA. Clinical applications of tissue expansion in head and neck surgery . Laryngoscope . 1990; 100:313-319. 4. Sasaki GM. Intraoperative sustained limited expansion (ISLE) as an immediate reconstructive technique . Clin Plast Surg . 1989;14:563-573. 5. Romo T, Foster CA. Nasal septal perforation . In: Gates GA, ed. Current Therapy in Otolaryngology—Head and Neck Surgery . Burlington, Ontario: BC Decker Inc; 1990:298-301. 6. Sasaki GM, Pang CY. Pathophysiology of skin flaps raised on expanded skin . Plast Reconstr Surg . 1984;74:59-65.Crossref 7. Cherry GW, Austad ED, Pasyk KA, Rohrich RJ. Increased survival and vascularity of random-pattern skin flaps elevated in controlled, expanded skin . Plast Reconstr Surg . 1983;72:680-685.Crossref 8. Austad ED, Pasyk KA, McClatchey KD, Cherry GW. Histomorphologic evaluation of guinea pig skin and soft tissue expansion after controlled tissue expansion . Plast Reconstr Surg . 1983;70:704-710.Crossref 9. Gibson T. The physical properties of skin . In: Converse JM, ed. Reconstructive Plastic Surgery . Philadelphia, Pa: WB Saunders; 1977;1:70-77. 10. Kuriloff DB, Goldsher M, Blaugrund SM, Krespi YP. Controlled laryngoplasty for vocal cord medialization: a technique using tissue expansion . Laryngoscope . 1990;100:615-622.Crossref 11. Manders EK, Schenden MJ, Furrey JA, Hetzler PT, Davis TS, Graham WP. Soft tissue expansion: concepts and complications . Plast Reconstr Surg . 1984;74:493-507.Crossref 12. Argenta LC, Watanabe MJ, Grabb WC. The use of tissue expansion in head and neck reconstruction . Clin Plast Surg . 1983;11:31-38.Crossref 13. Marks MW, Argenta LC, Thornton JW. Rapid expansion: experimental and clinical experience . Clin Plast Surg . 1987;14:435-445.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Mar 1, 1992

References