Application of quantitative tissue expansion in ear reconstruction.
- Author:
Bo PAN
1
;
Hai-Yue JIANG
;
Hong-Xing ZHUANG
;
Yan-Yong ZHAO
;
Qing-Hua YANG
;
Le-Ren HE
;
Juan HAN
;
Shu-Jie WANG
;
Lin Chinese LIN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Child; Child, Preschool; Ear, External; abnormalities; surgery; Female; Humans; Male; Postoperative Complications; prevention & control; Reconstructive Surgical Procedures; methods; Skin Transplantation; Surgical Flaps; Tissue Expansion; methods; Tissue Expansion Devices; Young Adult
- From: Chinese Journal of Plastic Surgery 2009;25(4):254-257
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the application of tissue expander in ear reconstruction and to deal with the complications.
METHODS50 ml kidney-shape tissue expanders were implanted subcutaneously in the mastoid area. The drainage tube was removed 3 days after operation. The suture was removed 10 days later. Since 7 days after operation, 5 ml NS was injected into the expander every time, three times a week. The total injection volume was about 60 ml. After that, the expander was maintained for one month.
RESULTSFrom January 1992 to December 2006, 5,248 patients of microtia were treated with 6,252 expander. After the maintaining period, the expanded skin was thin and well-vascularized. The complication rate was 7.79%, including hematoma, malunion and infection.
CONCLUSIONSThe quantitative tissue expansion is easily manipulated with few complications. It can provide hairless, thin skin with reliable blood supply for ear reconstruction.
