The Effect of Tissue Expansion on Previously Irradiated Skin

Kane, William J.; McCaffrey, Thomas V.; Wang, Thomas D.; Koval, Thomas M.

doi:10.1001/archotol.1992.01880040085014

Cited by 20 publications

(8 citation statements)

References 40 publications

(3 reference statements)

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“…4,29 Previously irradiated skin has decreased compliance and a higher rate of necrosis when tissue expanders are used. 30 Hyperpigmentation and dryness may be residual effects of the expanded skin. 15 Although for non-oncologic lesions, tissue expansion before resection can often be performed, this is a less useful technique in the management of wounds resulting from the excision of malignant lesions because tumor resection must be the priority.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Scalp Wounds with Exposed Calvarium Using a Local Flap and a Split-Thickness Skin Graft: Case Series of 20 Patients

Aldabagh

Cook

2014

Dermatologic Surgery

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Section: Discussionmentioning

confidence: 99%

Reconstruction of Scalp Wounds with Exposed Calvarium Using a Local Flap and a Split-Thickness Skin Graft: Case Series of 20 Patients

Aldabagh

Cook

2014

Dermatologic Surgery

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“…1 Tissue expansion is not generally recommended for infected cases because of the risk of the expander becoming infected and the whole expanded flap being lost, nor is it recommended in radiated skin because of decreased compliance and a higher rate of skin necrosis. 11 Various types of pericranial flaps, based on the supraorbital and supratrochlear arteries, can be used to cover a wide area of exposed bone, sometime in combination with local flaps and split-thickness skin grafts. 12,13 Galeal and temporoparietal fascial flaps have a wide arc of rotation, a good blood supply, and minimal donor site morbidity.…”

Section: Commentmentioning

confidence: 99%

Scalp and Forehead Reconstruction Using Free Revascularized Tissue Transfer

Beasley

Gilbert

Gullane

et al. 2004

Archives of Facial Plastic Surgery

142

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To examine the indications for, and the success of, free flap reconstruction in patients with forehead and scalp defects. Design: Case series. Setting: Two tertiary referral university teaching hospitals. Patients: Twenty-six consecutive patients, aged 31 to 85 years, presenting with 26 scalp defects, 5 forehead defects, and 1 combined defect (size, 70-672 cm 2). Three patients required resection and repair of the dura at surgery. Intervention: Patients were staged according to the size of the defect and the viability of surrounding tissue; free flap reconstruction was performed where indicated. Main Outcome Measures: Flap survival, complications, and disease-free and overall survival. Results: Thirty-four free flap reconstructions were performed (24 latissimus dorsi free flaps, 4 scapular free flaps, 3 rectus abdominis free flaps, and 3 radial forearm free flaps). One failed 2 weeks postoperatively, and 2 required exploration (1 for arterial ischemia and 1 for a hematoma). There were 3 cases of donor site morbidity (2 early seromas and 1 late abdominal hernia). One patient died of a pulmonary embolus 1 week postoperatively. Disease-free survival was 48% at 5 years and overall survival was 59% at 5 years, with a median follow-up of 24 months. Conclusions: Free revascularized tissue transfer is a reliable and safe way of reconstructing large scalp or forehead defects after traumatic injury or neoplastic resection. The muscle-only latissimus dorsi free flap for scalp reconstruction and the cutaneous scapular free flap for the forehead have proved successful in selected patients with a low complication rate and satisfactory cosmesis.

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“…Para obtenção de um melhor resultado cosmético, podem ser utilizados expansores teciduais 19,20 . Eles fornecem pele local para uma melhor cobertura da área de alopecia.…”

Section: Expansores Teciduaisunclassified

“…Resultados estéticos muito bons podem ser alcançados com a expansão tecidual para cobrir regiões onde a pele com cabelos foi perdida 19,20,22 . A principal vantagem é repor um tecido com características bastante semelhantes ao original.…”

Section: A B C Discussãounclassified

Reparação do escalpo por retalhos livres microcirúrgicos

Franciosi

Weber

Righesso

et al. 2010

Rev. Bras. Cir. Plást. (Impr.)

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Franciosi LFN et al. Reparação do escalpo por retalhos livres microcirúrgicos Scalp reconstruction with microsurgical free flaps RESUMO Introdução: O escalpelamento, remoção do escalpo, antiga técnica de se obter troféus de guerra, pode ser observado nos dias atuais causado por outras diferentes maneiras. A queimadura elétrica, as mordeduras caninas, os tumores e as máquinas industriais são as principais responsáveis por este tipo de lesão. A pouca extensibilidade do couro cabeludo proporciona uma grande dificuldade no tratamento destas lesões, principalmente nas perdas cutâneas extensas. O reimplante do escalpo pode ser tentado, mas, na maioria das vezes, essa oportunidade é perdida pela falta de condições técnicas ou porque a gravidade da lesão não o permite. A transposição de retalhos livres microcirúrgicos associada a outros procedimentos tem sido a maneira mais eficiente de tratar este tipo de lesão. Todos os pacientes incluídos neste trabalho tiveram boa evolução, com a resolução do problema inicial. Descritores: Retalhos cirúrgicos. Dispositivos para expansão de tecidos. Couro cabeludo/ cirurgia.

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The Effect of Tissue Expansion on Previously Irradiated Skin

Cited by 20 publications

References 40 publications

Reconstruction of Scalp Wounds with Exposed Calvarium Using a Local Flap and a Split-Thickness Skin Graft: Case Series of 20 Patients

Reconstruction of Scalp Wounds with Exposed Calvarium Using a Local Flap and a Split-Thickness Skin Graft: Case Series of 20 Patients

Scalp and Forehead Reconstruction Using Free Revascularized Tissue Transfer

Reparação do escalpo por retalhos livres microcirúrgicos

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