Complications in Tissue Expansion: An Updated Retrospective Analysis of Risk Factors

Wang, J.; Huang, Xiaolu; Liu, K.; Gu, Bin; Li, Quan

doi:10.1055/s-0034-1367000

Cited by 19 publications

(17 citation statements)

References 16 publications

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“…This mechanical process leads to hypertrophy and hyperplasia of living tissue [5,11]. The complications rate was 30 % with traditional tissue expansion which including failure of process (premature loss of expander that required additional surgery) as infection, implant exposure and failure, port failure, seroma, and bone resorption [9,12]. External tissue expansion needs much effort from patient and surgeon [7].…”

Section: Discussionmentioning

confidence: 99%

“…Tissue expansion depends on theory that any living tissue put under tension force for some time will produce hyperplasia and hypertrophy of that tissue [4][5][6][7]. These mechanical forces may be internal or external which need more efforts and associated with known complications [8][9][10]. In this study, we try to find more simple and easy technique for tissue expansion depends on biological effect of bee venom on living tissue.…”

Section: Introductionmentioning

confidence: 99%

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Natural Honey Bee Venom for Tissue Expansion in Reconstructive Surgery

Lasheen¹

2018

MJCCS

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Background: Tissue expansion is one of effective weapon in reconstructive surgery field. But traditional tissue expansion needs much effort and associated by known complications. In this study, tissue expansion is obtained by natural honey bee venom. Material and Methods: Twenty patients suffering from lesions which needed to excise in different body area, were included in this study. The lesions sizes were varied from 2 × 3 cm to 4 × 7 cm in different parts of body. Bee sting was used to produce tissue expansion, one sting on both sides of lesion before excision by 24 to 48 hours. Local anesthesia was used to decrease pain sensation before bee sting by 30 minutes. Results: One bee sting was enough to produce tissue expansion in fine tissue of face. Two bee stings one on both longitudinal sides of lesion were enough to produce tissue expansion in other areas. Bee sting tissue expansion increases the tissue area by about 50%. All wounds after lesions excision were closed directly without any tension and healed well within 2 to 3 weeks. Conclusion: Tissue expansion by bee sting is easy, simple, safe, effective, and costless in moderate cases.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Natural Honey Bee Venom for Tissue Expansion in Reconstructive Surgery

Lasheen¹

2018

MJCCS

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“…Some authors have shown that this strategy is preferable to using many expanders, since the infection rate is lower and the final gain is more important (Leedy et al, 2005;Wang et al, 2014). Furthermore, expansion is usually required in only one direction, that is, perpendicular to the fibrotic tissue that we want to excise or perpendicular to the future scar made for cranioplasty.…”

Section: Discussionmentioning

confidence: 99%

Soft tissue expansion and cranioplasty: For which indications?

Carloni

Hersant

Bosc

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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“…Specifically, the pressure of gravity-dependent edema, propensity for frequent motion, delicate skin, and poorly developed subdermal plexi may all contribute to poor outcomes. [2][3][4] Mitigating complications associated with skin contracture during equinovarus correction represents a unique indication for tissue expansion in the lower limb. Few reports describe such a strategy, and of these, all cases are in pediatric patients with results being equivocal.…”

Section: Introductionmentioning

confidence: 99%

Tissue Expansion for Severe Foot and Ankle Deformities: A 16-Year Review

et al. 2018

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Background: Tissue expansion in the lower extremity is controversial, with studies reporting complication rates as high as 83%. Few studies have looked at tissue expansion prior to orthopaedic correction of severe foot and ankle deformities, and those available are restricted to clubfoot in the pediatric population. Here, we report the largest case series on the use of tissue expanders for the reconstruction of severe foot and ankle deformity and the only report in adults. Methods: This is a retrospective chart review of the senior author's practice over a 16-year study period. All patients over 18 years of age who underwent tissue expansion prior to definitive orthopaedic correction of a severe foot and ankle deformity were included. Patient demographics, etiology of deformity, rate of expansion, and complications were recorded. Major complications were defined as those which required surgical intervention. Data were analyzed using descriptive statistics. Results: Nineteen cases were performed on 16 patients. Our overall complication rate was 31.6% (6/19), with major complications occurring in 21.1% (4/19) of cases, and minor complications occurring in 10.5% (2/19) of cases. Despite this, 94.7% (18/19) of cases went on to receive definitive orthopaedic correction after tissue expansion. No demographic parameters were associated with occurrence of complications. Conclusions: This represents the largest report on lower extremity tissue expansion for severe foot and ankle deformity correction. While we observed complications in 31.6% of patients, 94.7% of cases went on to receive definitive orthopaedic correction with successful primary closure. Résumé Historique : L'expansion tissulaire des membres inférieurs est controversée, car desétudes fontétat d'un taux de complications atteignant les 83 %. Peu d'études ont porté sur l'expansion tissulaire avant la correction orthopédique de graves déformations du pied et de la cheville, et celles qui existent se limitent au pied bot dans la population pédiatrique. Les auteurs rendent compte de la plus grande série de cas sur l'utilisation d'expandeurs tissulaires en vue de la reconstruction de graves déformations du pied et de la cheville, la seule àêtre menée chez des adultes. Méthodologie : La présenteétude rétrospective traite des dossiers de l'auteur principal sur une période de 16 ans. Tous les patients de plus de 18 ans qui ont subi une expansion tissulaire avant la correction orthopédique définitive d'une grave déformation du pied et de la cheville en ont fait partie. Les chercheurs ont consigné la démographie des patients, l'étiologie des déformations, le taux d'expansion et les complications. Ils ont défini les complications majeures comme celles qui exigent une intervention chirurgicale. Ils ont analysé les données à l'aide de statistiques descriptives. Résultats : Les chercheurs ont relevé 19 cas chez 16 patients. Le taux de complications global s'élevait à 31,6 % (six cas sur 19). Des complications majeures se sont produites dans 21,1 % des cas (quatre sur 19) e...

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Complications in Tissue Expansion: An Updated Retrospective Analysis of Risk Factors

Abstract: Evidence suggests a recent change in risk factors for tissue expansion-related complications. Consideration of updated risk factors may help to further improve outcomes in tissue expansion.

Cited by 19 publications

References 16 publications

Natural Honey Bee Venom for Tissue Expansion in Reconstructive Surgery

Natural Honey Bee Venom for Tissue Expansion in Reconstructive Surgery

Soft tissue expansion and cranioplasty: For which indications?

Tissue Expansion for Severe Foot and Ankle Deformities: A 16-Year Review

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