Easy Way of Choosing Rectangular Expander and Getting Maximum Benefit From Expanded Tissue
Background: Tissue expanders are widely used for reconstruction of tissue defects. The choice of expander and planning the flap is complicated for the inexperienced surgeon.
Objective: To demonstrate the choice of expander sizes proper for the tissue defect and maximum advancement technique during the defect coverage.
Methods: The present study included 19 patients who were operated between January 2013 and January 2017. The expander projection was chosen in the manner that it would be more than the half length of the defect to be occurred and the expander width was chosen as wide as possible based on the area of its placement. After the expansion was completed, advancement method was used to cover the defect.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients treated with rectangular tissue expanders.
- Patients who attended to at least postoperative six months control.
Exclusion Criteria:
- Patients treated with tissue expanders other than rectangular expanders.
- Patients who did not attend to postoperative controls.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Retrospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Skin expansion and repair with flaps
The tissue expander was inserted into the scalp in 17 patients and supraclavicular area in two patients.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Scar revision
Time Frame: 6 months
|
Closure of defect
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- NEUMANN CG. The expansion of an area of skin by progressive distention of a subcutaneous balloon; use of the method for securing skin for subtotal reconstruction of the ear. Plast Reconstr Surg (1946). 1957 Feb;19(2):124-30. doi: 10.1097/00006534-195702000-00004. No abstract available.
- Radovan C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg. 1982 Feb;69(2):195-208. doi: 10.1097/00006534-198202000-00001.
- Pamplona DC, Velloso RQ, Radwanski HN. On skin expansion. J Mech Behav Biomed Mater. 2014 Jan;29:655-62. doi: 10.1016/j.jmbbm.2013.03.023. Epub 2013 Apr 19.
- Radovan C. Tissue expansion in soft-tissue reconstruction. Plast Reconstr Surg. 1984 Oct;74(4):482-92. doi: 10.1097/00006534-198410000-00005.
- Manders EK, Schenden MJ, Furrey JA, Hetzler PT, Davis TS, Graham WP 3rd. Soft-tissue expansion: concepts and complications. Plast Reconstr Surg. 1984 Oct;74(4):493-507. doi: 10.1097/00006534-198410000-00007.
- Hudson DA. Maximising the use of tissue expanded flaps. Br J Plast Surg. 2003 Dec;56(8):784-90. doi: 10.1016/s0007-1226(03)00379-5.
- Pamplona DC, Weber HI, Leta FR. Optimization of the use of skin expanders. Skin Res Technol. 2014 Nov;20(4):463-72. doi: 10.1111/srt.12141. Epub 2014 Feb 17.
- Kiyokawa K, Rikimaru H, Inoue Y, Tai Y. A new concept and technique for reconstructing skin defects in the cheek region: an unfolded cube advancement flap. Plast Reconstr Surg. 2004 Mar;113(3):985-91. doi: 10.1097/01.prs.0000105045.57704.44. No abstract available.
- Ueda K, Hara M, Okada M, Kurokawa N, Otani K, Nuri T. Lambda incision for effective tissue expansion. J Plast Reconstr Aesthet Surg. 2010 Oct;63(10):1682-7. doi: 10.1016/j.bjps.2009.09.015. Epub 2009 Nov 11.
- Yenidunya MO. The bi-lobed flap design on expanded skin of the face and neck region. Plast Reconstr Surg. 1998 May;101(6):1741-2. doi: 10.1097/00006534-199805000-00066. No abstract available.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- IzmirKCU-Plastik1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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