title: [Evaluation of the external tissue extender (Ete) in secondary wound closure].
abstract: BACKGROUND
  For surgical closure of large skin defects, elaborate reconstructive plastic surgery or other methods such as internal subcutaneous balloon tissue expanders are required in order to avoid tension on the closure margins. Here we point to the benefits and disadvantages of an improved and simple method of secondary wound closure by secondary sutures.
  
  
  METHODS
  We employed a system called External Tissue Extender (ETE), which consists of silicone strings and plastic stoppers pulling the corresponding surgical sites together and evenly distributing the tension. Possible indications in dermatologic surgery and our experiences with this technique are outlined.
  
  
  RESULTS
  Implantation and handling of the ETE are very easy and fast. The functional results are good and the cosmetic outcome satisfactory. More invasive surgical procedures can be avoided by using this method. A major disadvantage is the possibility of developing necrosis under the plastic stoppers.
  
  
  CONCLUSIONS
  According to our experience, the ETE is a useful alternative indicated in certain dermatosurgical situations.
authors.affiliation: Hautklinik und Poliklinik der Georg-August-Universität Göttingen. mzutt@web.de
authors.forename: Markus
authors.initials: M
authors.lastname: Zutt
authors.forename: Iris
authors.initials: I
authors.lastname: Beckmann
authors.forename: Lutz
authors.initials: L
authors.lastname: Kretschmer
mesh_terms: D003358:Cosmetics; D062109:Dermatologic Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D009336:Necrosis / Q000209:etiology; D010969:Plastics; D011183:Postoperative Complications; D012828:Silicones; D013536:Suture Techniques; D013997:Time Factors; D015625:Tissue Expansion Devices; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000601:surgery*
chemical_list: D003358:Cosmetics; D010969:Plastics; D012828:Silicones