title: Avoiding Extended Scar in Skin Expansion: Alagoz Technique.
abstract: The principal aim of skin expansion is to provide additional donor tissue without extra donor-site morbidity. Most of the reports about tissue expansion are focused on the properties of expander. Donor-site decision is usually underestimated. Here, we offer to use the defect area and surrounding healthy tissue as the donor site.In 4 cases, expanders were placed just under the defect in a fashion to extend 1 to 2 cm more laterally toward the encircling healthy tissue. The expanded tissue was not mobilized for longer distances; thus, there was no loss in flap gain. The resulting final scar was linear or crescentic. In the Alagoz technique, tissue gain similar in size to the defect is sufficient for reconstruction. The simpler the flap, the best the resulting scar.
authors.affiliation: *Department of Plastic and Reconstructive Surgery, Kocaeli University Medical Faculty, Kocaeli, Turkey †Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey ‡Department of Plastic and Reconstructive Surgery, Medipol University Medical Faculty, Istanbul, Turkey.
authors.forename: Murat Şahin
authors.initials: MŞ
authors.lastname: Alagöz
authors.forename: Sinan
authors.initials: S
authors.lastname: Öksüz
authors.forename: Mustafa
authors.initials: M
authors.lastname: Keskin
authors.forename: Emrah Kağan
authors.initials: EK
authors.lastname: Yaşar
authors.forename: Fikret
authors.initials: F
authors.lastname: Eren
authors.forename: Mustafa
authors.initials: M
authors.lastname: Hasdemir
authors.forename: Ersin
authors.initials: E
authors.lastname: Ülkür
mesh_terms: D000328:Adult; D002921:Cicatrix / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D013524:Surgical Flaps; D015626:Tissue Expansion / Q000295:instrumentation*; D015625:Tissue Expansion Devices; D055815:Young Adult