[Tissue expansion in the reconstruction of post-burn lesions in childhood].
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.
de Agustín
J C
JC
Division of Plastic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.
Morris
S F
SF
Zuker
R M
RM
D000293:Adolescent; D000505:Alopecia / Q000209:etiology / Q000601:surgery*; D002056:Burns / Q000150:complications / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications; D015626:Tissue Expansion
Expansión tisular en la reconstrucción de lesiones post-quemadura en la edad pediátrica.