Reconstructive Surgery of Extensive Face and Neck Burn Scars Using Tissue Expanders

  • سال انتشار: 1397
  • محل انتشار: هشتمین کنگره بین المللی سوختگی
  • کد COI اختصاصی: NCBMED08_168
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 404
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نویسندگان

Naser Mozafari

Associate professor of plastic surgery, Department of plastic surgery , ۱۵ khordad Educational Hospital, , School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran,Iran

Mohammad Ali Zozaffari

MD, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran,Iran

Hormoz Mahmoudvand

Resident of plastic surgery, Department of plastic surgery , ۱۵ khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran,Iran

چکیده

Background: Neck reconstruction is considered as one of the most important surgeries in cosmetic and reconstructive surgery. The present study aimed to assess the results of reconstructive surgery of extensive face and neck burning scars using tissue expanders.Methods: This descriptive prospective study was conducted on 36 patients with extensive burning scars on the neck and face. Operation for tissue expander insertion was performed and tissue distension started two or three weeks later, depending on the patients’ incisions. After sufficient time for tissue expansion, while removing the expander and excision of the lesion, the expanded flap was used to cover the lesion. Overall, 43 cosmetic surgeries were done.Results: Rectangular expanders were employed in most patients (73.81%) and were located in the neck in most of them (60.78%). Complications were detected in five patients (13.89%), with exposure of the prosthesis being the most common one. Scar tissues at the reconstruction site and the flap donor site were acceptablein 94.44% and 98.18% of the cases, respectively. Overall, most of the patients (77.78%) were satisfied with the operation results.Conclusion: Using tissue expanders in tissue reconstruction of extensive neck and facial burning scars results in highly desirable outcomes.

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