Skin expansion--a sword that "stretches" two ways: scalp expansion and bone erosion.
Tissue expanders, which are used to enlarge the soft tissue of the scalp, eroded the outer table of the skull as well as a portion of the inner table. The patient in this case study is documented with photographs, and the entity of pressure due to skin expanders is discussed. A growing list of complications makes it important to be aware of the possible pitfalls of expanders and to discuss them with patients and/or their families, particularly when tissue expanders are used in children.
Penoff
J
J
Straub Clinic and Hospital, Honolulu, Hawaii.
D062109:Dermatologic Surgical Procedures; D006801:Humans; D007223:Infant; D012535:Scalp / Q000002:abnormalities* / Q000601:surgery; D012886:Skull / Q000002:abnormalities* / Q000601:surgery; D015626:Tissue Expansion / Q000379:methods*; D015625:Tissue Expansion Devices