Use of Tissue Expansion in Clubfoot Surgery

Foot & Ankle ◽  
1993 ◽  
Vol 14 (3) ◽  
pp. 117-122 ◽  
Author(s):  
Lester Silver ◽  
Alfred D. Grant ◽  
Dan Atar ◽  
Wallace B. Lehman
Keyword(s):  
Soft Tissue ◽  
Tissue Expansion ◽  
Outpatient Clinics ◽  
Gradual Expansion

Tissue expansion was used successfully to prepare ade-quate soft tissue for closure following a difficult clubfoot correction. The gradual expansion was done weekly at the outpatient clinics (average 3–4 months). The procedure proved to be useful in severe cases of clubfoot.

scholarly journals Repair Exposure of the Postauricular Tissue Expander Using the Modified Brent Method: A 7-Year Experience

2021 ◽  
pp. 014556132110079
Author(s):  
Tongyu Cao ◽  
Qingguo Zhang
Keyword(s):  
Soft Tissue ◽  
Skin Flap ◽  
Tissue Expander ◽  
Tissue Expansion ◽  
Ear Reconstruction ◽  
Lower Pole ◽  
Tension Free ◽  
Subsequent Exposure ◽  
Free Closure ◽  
Complicated Conditions

Objectives: Ear reconstruction is a challenging surgery for the complicated conditions in patients with microtia. The tissue expansion techniques were necessary and relatively safe for patients with insufficient soft tissue. However, complications such as necrosis of expanded flap and exposure of tissue expander limited the popularization of this method. This study described the use of modified Brent method to handle the exposure of the postauricular tissue expander. Methods: From January 2013 to December 2019, 27 ear reconstruction patients with trauma or necrosis on an expanded skin flap and subsequent exposure of tissue expander were treated with modified Brent method, which consisted of 3 stages: removal of the expander, tension-free closure of wound, and framework fabrication; elevation of reconstructed ear; lobule rotation; and minor modification. Results: Fifty-six percent of exposures occurred in the lower pole of the tissue expander. Exposure usually occurred 54.5 days after implantation. The majority of reconstructed ears had a satisfactory appearance and showed relatively stable outcomes. Only one case of cartilage exposure required revision surgery and was repaired by the temporoparietal fascia. Conclusion: With reasonable distribution of expanded flap, prolonged interval, and sutures under tension-free conditions, complications like the occurrence of trauma or necrosis-induced exposure of tissue expander can be repaired efficiently by a staging modified Brent method.

Dermal and Epidermal Response to Soft-Tissue Expansion in the Pig

1988 ◽  
Vol 81 (3) ◽  
pp. 390-395 ◽  
Author(s):  
Peter E. Johnson ◽  
Desmond A. Kernahan ◽  
Bruce S. Bauer
Keyword(s):  
Soft Tissue ◽  
Tissue Expansion

Tissue expansion reconstruction of soft tissue avulsions of the face: Report of two cases

1987 ◽  
Vol 45 (4) ◽  
pp. 362-370 ◽  
Author(s):  
Harold E. Cook ◽  
Michael K. Lewis ◽  
Noel G. Stoker
Keyword(s):  
Soft Tissue ◽  
Tissue Expansion ◽  
The Face

scholarly journals Ten technical considerations revisited in tissue expansion

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Luke Geoghegan ◽  
Dariush Nikkhah
Keyword(s):  
Soft Tissue ◽  
Skin Flap ◽  
Tissue Expansion ◽  
Soft Tissue Defect ◽  
Illustrative Case ◽  
Soft Tissue Defects ◽  
Case Presentation ◽  
Versatile Tool ◽  
Technical Factors ◽  
Tissue Defects

Abstract Tissue expansion is a versatile tool in resurfacing soft tissue defects of the breast, extremity, head and neck that involves the placement of a temporary implant adjacent to a soft tissue defect. Incremental expansion exploits the viscoelastic properties of skin to generate a skin flap that can be used to resurface defects and provide cover over permanent protheses. Infection, implant extrusion and skin necrosis are recognized complications of tissue expansion. This article presents a revised framework of 10 technical factors to reduce the risk of complications and optimize outcomes with tissue expansion using an illustrative case presentation.

Soft-Tissue Expansion in the Lower Extremities

1988 ◽  
Vol 81 (2) ◽  
pp. 218-219
Author(s):  
Ernest K. Manders ◽  
Timothy E. Oaks ◽  
Victor K. Au ◽  
Randolph K. M. Wong ◽  
John A. Furrey ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremities ◽  
Tissue Expansion

Soft-Tissue Expansion: Concepts and Complications

1984 ◽  
Vol 74 (4) ◽  
pp. 493-507 ◽  
Author(s):  
Ernest K. Manders ◽  
Michael J. Schenden ◽  
John A. Furrey ◽  
Peter T. Hetzler ◽  
Thomas S. Davis ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Tissue Expansion

scholarly journals Three-Dimensional Simulation of Scalp Soft Tissue Expansion Using Finite Element Method

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Qiu Guan ◽  
Xiaochen Du ◽  
Yan Shao ◽  
Lili Lin ◽  
Shengyong Chen
Keyword(s):  
Finite Element Method ◽  
Finite Element ◽  
Soft Tissue ◽  
Three Dimensional ◽  
Tissue Expansion ◽  
Element Model ◽  
Size Number ◽  
Proposed Model ◽  
Dimensional Simulation ◽  
Element Method

Scalp soft tissue expansion is one of the key medical techniques to generate new skin tissue for correcting various abnormalities and defects of skin in plastic surgery. Therefore, it is very important to work out the appropriate approach to evaluate the increase of expanded scalp area and to predict the shape, size, number, and placement of the expander. A novel method using finite element model is proposed to solve large deformation of scalp expansion in this paper. And the procedure to implement the scalp tissue expansion with finite element method is also described in detail. The three-dimensional simulation results show that the proposed method is effective, and the analysis of simulation experiment shows that the volume and area of the expansion scalp can be accurately calculated and the quantity, location, and size of the expander can also be predicted successfully with the proposed model.

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