[Application of skin and soft tissue expansion in treatment of burn injury].
OBJECTIVE
To evaluate the application of skin and soft tissue expansion in the treatment of deformity due to extensive severe burn injury and repair of severe deep electrical burned scalp and skull with fresh wound.


METHODS
From 1988, 83 cases of application of skin and soft tissue expansion were reported. In those patients with deformity due to severe burn of large area and with whole nasal defect, soft tissue expander was used under the forehead skin graft and venter frontalis, followed by reconstruction of nose with the expanded vascularized skin flap and carved cartilago costalis as nasal frame. In patients of severe deep electrical burned scalp and skull with fresh wound, skin and soft tissue expansion were used to repair the wound simultaneously with scalp burn alopecia, anesthetics and antibiotics injected into the extracapsular space of the expander in case of pain and infection.


RESULTS
All of the cases were successfully treated with little pain and minimized infection.


CONCLUSIONS
Skin and soft tissue expansion in a safe and reliable measure in the treatment of deformity due to extensive severe burn injury and repair of severe deep electrical burned scalp and skull with fresh wound.
Wang
N Z
NZ
Department of Burn and Plastic Surgery, Beijing Jishuitan Hospital, Beijing, P. R. China, 100035.
Shen
Z Y
ZY
Ma
C X
CX
D000293:Adolescent; D000328:Adult; D002056:Burns / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation; D013524:Surgical Flaps; D015626:Tissue Expansion / Q000379:methods*