Tissue expansion in pediatric patients

Roxana Rivera, John LoGiudice, Arun K. Gosain*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

43 Scopus citations

Abstract

Despite its potential complications, tissue expansion in the pediatric population is an effective reconstructive modality. Because of the significant patient and family cooperation and effort needed in the expansion process, patients and families who are cooperative and compliant tend to have the best outcomes. Effective education and guidance, beginning preoperatively and continuing throughout the expansion process, are imperative. Although most of the reported complications may delay final reconstruction, few complications prevent the ultimate success of the reconstruction. For instance, expander rupture is treated by expander replacement, and expander exposure is treated by removal of the expander, advancement of the partially expanded flaps, and reinsertion of another expander once the flaps are healed. In both cases, the final reconstruction is delayed but not lost. Those surgeons who practice tissue expansion on a regular basis and are familiar with the best ways of handling complications as they arise will achieve optimal outcomes. The critical factors in achieving success are proper patient selection, thorough preoperative planning, parent and patient education, meticulous technique, and the ability to modify the reconstructive plan for each patient based on his or her clinical response.

Original languageEnglish (US)
Pages (from-to)35-44
Number of pages10
JournalClinics in Plastic Surgery
Volume32
Issue number1
DOIs
StatePublished - Jan 1 2005

ASJC Scopus subject areas

  • Surgery

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