Skip to main content

Tissue expanders in burn surgery

  • Chapter
Handbook of Burns

Abstract

Tissue expansion is based on a dynamic process of nature in which vital tissue responds to continuous mechanical stress load. The capability to gain or lose weight during pregnancy for instance demonstrates the skin ability to develop independently. Tissue expansion has a significant implication in different ethnic societies throughout the world. Enlarged lips of Ethiopian Mursi women or elongated necks of Padauang women attest the exotic aesthetics associated with tissue expansion [1]. Tissue expansion represents the medical application of this normal physiologic process for reconstructive purposes and has already provided to be a reliable principle in plastic and reconstructive surgery [2, 3].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. McCauley RL (2007) Correction of burn alopecia. In: Herndon DN (ed) Total burn care, 3rd edn. London, Saunders, pp 690–694

    Google Scholar 

  2. Argenta LC (1984) Controlled tissue expansion in reconstructive surgery. Controlled tissue expansion in reconstructive surgery. Br J Plast Surg 37: 520–529

    Article  PubMed  CAS  Google Scholar 

  3. Hudson DA, Grob M (2005) Optimising results with tissue expansion: 10 simple rules for successful tissue expander insertion. Burns 31(1): 1–4

    Article  PubMed  Google Scholar 

  4. Codivilla A (1905) On the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deformity. Am J Orthop Surg 2: 353–369

    Google Scholar 

  5. Neumann CG (1957) The expansion of skin by progressive distension of a subcutaneous balloon. Plast Reconstr Surg 19: 124–130

    Article  CAS  Google Scholar 

  6. Austad ED (1988) Evolution of the concept of tissue excpansion. Facial Plast Surg 5: 277–279

    Article  PubMed  CAS  Google Scholar 

  7. Radovan C (1984) Tissue expansion in soft-tissue reconstruction. Plast Reconstr Surg 74: 482–492

    Article  PubMed  CAS  Google Scholar 

  8. Pallua N, O’Dey D (2006) II-7.1 Gewebeexpansion-Grundprinzipien und Funktion. In: Krupp S, Rennekampff S, Pallua N (Hrsg) Plastische Chirurgie. Ecomed, Landsberg, pp 1–14

    Google Scholar 

  9. Pallua N, von Heimburg D (2005) Pre-expanded ultrathin supraclavicular ?aps for (full-) face reconstruction with reduced donor-site morbidity and without the need for microsurgery. Plast Reconstr Surg 115(7): 1837–1844 [discussion 1837-1845]

    Article  PubMed  CAS  Google Scholar 

  10. Acartürk TO, Glaser DP, Newton ED (2004) Reconstruction of difficult wounds with tissue-expanded free flaps. Ann Plast Surg 52: 493–499

    Article  PubMed  Google Scholar 

  11. Teot L, Cherenfant E, Otman S, Giovannini UM (2000) Prefabricated vascularised supraclavicular flaps for face resurfacing after postburn scarring. Lancet 355: 1695–1696

    Article  PubMed  CAS  Google Scholar 

  12. Hallock GG (1995) Preexpansion of free flap donor sites used in reconstruction after burn injury. J Burn Care Rehabil 16: 646–653

    Article  PubMed  CAS  Google Scholar 

  13. Ninkovic M, Moser-Rumer A, Ninkovic, M, Ninkovic M, Spanio S, Rainer C et al (2004) Anterior neck reconstruction with pre-expanded free groin and scapular flaps. Plast Reconstr Surg 113: 61–68

    Article  PubMed  Google Scholar 

  14. Abramson DL, Pribaz JJ, Orgill DP (1996) The use of free tissue transfer in burn reconstruction. J Burn Care Rehabil 17: 402–408

    Article  PubMed  CAS  Google Scholar 

  15. Pribaz JJ, Fine N, Orgill DP (1999) Flap prefabrication in the head and neck: A 10 year-experience. Plast Reconstr Surg 103: 808–8020

    Article  PubMed  CAS  Google Scholar 

  16. De Filippo RE, Atala A (2002) Stretch and growth. The molecular and physiologic influences of tissue expansion. Plast Reconstr Surg 109: 2450–2462

    Article  PubMed  Google Scholar 

  17. Van Rappard JH, Sonnevald GJ, Borghouts JM (1988) Histologic changes in soft tissues due to tissue expansion (in animal studies and humans). Facial Plast Surg 5: 280–286

    Article  PubMed  Google Scholar 

  18. Leighton WD, Russel RC, Marcus DE, Eriksson E, Suchy H, Zook EG (1988) Experimental pre-transfer expansion of free-flap donor sides: I. Flap viability and expansion characteristics. Plast Reconstr Surg 82: 69–75

    Article  PubMed  CAS  Google Scholar 

  19. Leighton WD, Russel RC, Feller AM, Eriksson E, Mathur A, Zook EG (1988) Experimental pretransfer expansion of free flap donor sides: II Physiology, histology, and clinical correlation. Plast Reconstr Surg 82: 76–87

    Article  PubMed  CAS  Google Scholar 

  20. Cherry GW, Austad E, Pasyk K, McClatchey K, Rohrich RJ (1983) Increased survivial and vascularity of random pattern skin flaps elevated in controlled, expanded skin. Plast Reconstr Surg 72: 680–687

    Article  PubMed  CAS  Google Scholar 

  21. Pasyk KA, Argenta LC, Hassett C (1988) Quantitative analysis of the thickness of human skin and subcutaneous tissue following controlled expansion with a silicone implant. Plast Reconstr Surg 81: 516–523

    Article  PubMed  CAS  Google Scholar 

  22. Lantieri LA, Martin-Garcia N, Wechsler J et al (1998) Vascular endothelial growth factor expression in expanded tissue: a possible mechanism of angiogenesis in tissue expansion. Plast Reconstr Surg 101: 392–398

    Article  PubMed  CAS  Google Scholar 

  23. Takei T, Mills I, Katsuyuki A et al (1998) Molecular basis for tissue expansion: clinical implementation for the surgeon. Plast Reconstr Surg 102: 247–258

    Article  PubMed  CAS  Google Scholar 

  24. Prasad JK, Bowden ML, Thomson PD (1991) A review of the reconstructive surgery needs of 3167 survivors of burn injury. Burns 17: 302–305

    Article  PubMed  CAS  Google Scholar 

  25. Huang TT, Larson DL, Lewis SR (1977) Burn alopecia. Plast Reconstr Surg 60: 763–767

    Article  PubMed  CAS  Google Scholar 

  26. Neligan PC, Peters WJ (1989) Advances in burn scar reconstruction: the use of tissue expansion. Ann Plast Surg 22(3): 203–210

    Article  PubMed  CAS  Google Scholar 

  27. Cohen M, Marschall MA, Schafer ME (1988) Tissue expansion for the reconstruction of burn defects. J Trauma 28(2): 158–163

    Article  PubMed  CAS  Google Scholar 

  28. Youm T, Margiotta M, Kasabian A, Karp N (1999) Complications of tissue expansion in a public hospital. Ann Plast Surg 42(4): 396–401 [discussion 392-401]

    Article  PubMed  CAS  Google Scholar 

  29. Ronert MA, Hofheinz H, Manassa E, Asgarouladhi H, Olbrisch RR (2004) The beginning of a new area in tissue expansion: self-filling osmotic tissue expander: four year clinical experiemce. Plast Reconstr Surg 14: 1025–1031

    Article  Google Scholar 

  30. Hudson DA (2003) Maximising the use of tissue expanded flaps. Br J Plast Surg 56: 784–790

    Article  PubMed  Google Scholar 

  31. Aachauer BM (1991) Burn reconstruction. Thieme, New York

    Google Scholar 

  32. Pallua N, Demir E (2008) Postburn head and neck reconstruction in children with the fasciocutaneous supraclavicular artery island flap. Ann Plast Surg 60: 276–282

    Article  PubMed  CAS  Google Scholar 

  33. Shenaq SM (1987) Pretransfer expansion of a sensate lateral arm free flap. Ann Plast Surg 19: 558–562

    Article  PubMed  CAS  Google Scholar 

  34. Santanelli F, Grippaudo FR, Ziccardi P, Onesti MG (1997) The role of pre-expanded free flaps in revision of burn scarring. Burns 23: 620–625

    Article  PubMed  CAS  Google Scholar 

  35. Furukawa H, Yamamoto Y, Kimura C, Igawa HH, Sugihara T (1998) Clinical application of expanded free flaps based on primary or secondary vascularization. Plast Reconstr Surg 102: 1532–1536

    Article  PubMed  CAS  Google Scholar 

  36. Tsai FC (2003) A new method: perforator based tissue expansion for a preexpanded free cutaneous perforator flap. Burns 29: 845–848

    Article  PubMed  Google Scholar 

  37. Tsai FC, Mardini S, Chen DJ, Yang JY, Hsieh MS (2006) The classification and treatment algorithm for postburn cervical contractures reconstructed with free flaps. Burns 32: 626–633

    Article  PubMed  Google Scholar 

  38. Casanova D, Bali D, Bardot J, Legre R, Magalon G (2001) Tissue expansion of the lower limb: complications in a cohort of 103 cases. Br J Plast Surg 54(4): 310–316

    Article  PubMed  CAS  Google Scholar 

  39. Cunha MS, Nakamoto HA, Herson MR, Faes JC, Gemperli R, Ferreira MC (2002) Tissue expander complications in plastic surgery: a 10-year experience. Rev Hosp Clin Fac Med Sao Paulo 57(3): 93–97

    Article  PubMed  Google Scholar 

  40. Friedman RMIAJ, Rohrich RJ, Byrd HS, Hodges PL, Burns AJ, Hobar PC (1996) Risk factors for complications in pediatric tissue expansion. Plast Reconstr Surg 98(7): 1242–1246

    Article  PubMed  CAS  Google Scholar 

  41. Gibstein LA, Abramson DL, Bartlett RA, Orgill DP, Upton J, Mulliken JB (1997) Tissue expansion in children: a retrospective study of complications. Ann Plast Surg 38(4): 358–364

    Article  PubMed  CAS  Google Scholar 

  42. Governa M, Bonolani A, Beghini D, Barisoni D (1996) Skin expansion in burn sequelae: results and complications. Acta Chir Plast 38(4): 147–153

    PubMed  CAS  Google Scholar 

  43. Pisarski GP, Mertens D, Warden GD, Neale HW (1998) Tissue expander complications in the pediatric burn patient. Plast Reconstr Surg 102(4): 1008–1012

    Article  PubMed  CAS  Google Scholar 

  44. Bozkurt A, Groger A, O’Dey D, Vogeler F, Piatkowski A, Fuchs PCh, Pallua N (2008) Retrospective analysis of tissue expansion in reconstructive burn surgery: evaluation of complication rates. Burns 34: 1113–1118

    Article  PubMed  CAS  Google Scholar 

  45. Brou JA, Vu T, McCauley RL, Herndon DN, Desai MH, Rutan RL et al (1990) The scalp as a donor site: revisited. J Trauma 30: 579–581

    Article  PubMed  CAS  Google Scholar 

  46. Barret JP, Dziewulski P, Wolf SE, Desai MH, Herndon DN (1999) Outcome of scalp donor sites in 450 consecutive pediatric burn patients. Plast Reconstr Surg 103: 1139–1142

    Article  PubMed  CAS  Google Scholar 

  47. Achauer BM, Vander Kam VM (2000) Burn reconstruction. In: Achauer BM, Eriksson E (eds) Plastic surgery indications operations outcomes. Mosby, St. Louis, MO, pp 425–446

    Google Scholar 

  48. Aranmolate S, Atah AA (1989) Bilobed flap in the release of postburn mentosternal contracture. Plast Reconstr Surg 83: 356–361

    Article  PubMed  CAS  Google Scholar 

  49. Pallua N, Machens HG, Rennekampff O, Becker M, Berger A (1997) The fasciocutaneous supraclavicular artery island ?ap for releasing postburn mentosternal contractures. Plast Reconstr Surg 99(7):1878–1884 [discussion 1876-1885]

    Article  PubMed  CAS  Google Scholar 

  50. Manders EK, Oaks TE, Au VK, Wong RK, Furrey JA, Davis TS et al (1988) Soft-tissue expansion in the lower extremities. Plast Reconstr Surg 81(2):208–219

    Article  PubMed  CAS  Google Scholar 

  51. Vogelin E, de Roche R, Luscher NJ (1995) Is soft tissue expansion in lower limb reconstruction a legitimate option? Br J Plast Surg 48(8): 579–582

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Norbert Pallua M. D., Ph. D., FEBOPRAS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag/Wien

About this chapter

Cite this chapter

Pallua, N., Demir, E. (2012). Tissue expanders in burn surgery. In: Kamolz, LP., Jeschke, M.G., Horch, R.E., Küntscher, M., Brychta, P. (eds) Handbook of Burns. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0315-9_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-0315-9_12

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0314-2

  • Online ISBN: 978-3-7091-0315-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics