Scopus
YÖKSİS Eşleşti
Applicability of self-inflating tissue expanders in pediatric patients with head and neck defects
European Journal of Plastic Surgery · Şubat 2015
YÖKSİS Kayıtları
Applicability of self-inflating tissue expanders in pediatric patients with head and neck defects
European Journal of Plastic Surgery · 2015 EMBASE, ESCI, SCOPUS, Google Scholar, SCImago
DOÇENT GÖKÇE YILDIRAN →
Applicability of self inflating tissue expanders in pediatric patients with head and neck defects
European Journal of Plastic Surgery · 2015 scholar
PROFESÖR ZEKERİYA TOSUN →
Makale Bilgileri
DergiEuropean Journal of Plastic Surgery
Yayın TarihiŞubat 2015
Cilt / Sayfa38 · 25-30
Scopus ID2-s2.0-84922105974
Özet
Background: Self-inflating tissue expanders have been used successfully in breast reconstruction, alopecia, scars, and anophthalmos. The expanders contain an osmotic active hydrogel and a silicon shell. The purpose of this study was to analyze our clinical experience using self-inflating tissue expanders in the treatment of alopecia and cleft palate defects in pediatric patients.Methods: Twenty-eight self-inflating tissue expanders were used in 13 patients with alopecia or large cleft palate defects. Expander dimensions were determined by the size of the defect in the scalp and by using a sizer for the palate. In some patients, it was necessary to use more than one expander. A visual analog scale (VAS) and Children’s Hospital of Eastern of Ontario Pain Scale (CHEOPS) were used to determine pain levels.Results: Sufficient tissue was gained in nine patients (69.2%) and 11 of the 16 defects were repaired successfully (68.75 %). We observed four implant extrusions as a major complication (14.2 %). Three of these four extrusions were seen in cleft palate expansions. Pain levels were as low as 5 points with CHEOPS in patients younger than 5 years old and 40 mm with VAS in patients older than 5 years of age.Conclusions: Self-inflating tissue expanders comfortably ensure sufficient tissue in patients with alopecia; however, there is high risk of extrusion in cleft palate applications.Level of Evidence: Level V, therapeutic study.
Yazarlar (5)
1
Mehtap Karamese
2
Osman Akdag
3
Gokce Yildiran
4
Muhammed Nebil Selimoglu
5
Zekeriya Tosun
Anahtar Kelimeler
Alopecia
Cleft palate defect
Osmotic expander
Self-inflating tissue expander
Kurumlar
Selçuk Üniversitesi
Selçuklu Turkey
Metrikler
1
Atıf
5
Yazar
4
Anahtar Kelime