Effects of intraoperative tissue expansion and skin flaps on wound closing tensions

Aaron L. Shapiro*, Marcelo Hochman, J. Regan Thomas, Gregory Branham

*Corresponding author for this work

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Objective: To evaluate the effect on wound closing tension of acute tissue expansion combined with development of a rectangular flap compared with simple undermining with rectangular flap development. Design: Wound closing tensions of 30 acutely expanded skin sites and 30 matched undermined sites were compared after development of rectangular flaps. Analysis of covariance was used to determine statistical significance. Subjects: Ten domestic piglets. Results: When mean values of wound closing tension for the expanded rectangular flap were compared with those of the undermined rectangular flap, a significant difference was found at the intermediate points along the curve for tension vs length of skin stretch. Conclusion: For small lesions, acute tissue expansion in conjunction with the use of a rectangular flap results in decreased wound closing tensions when compared with simple undermining with the use of a flap.

Original languageEnglish (US)
Pages (from-to)1107-1111
Number of pages5
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume122
Issue number10
DOIs
StatePublished - Oct 1996

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'Effects of intraoperative tissue expansion and skin flaps on wound closing tensions'. Together they form a unique fingerprint.

  • Cite this