Complications of head and neck skin expansion
Skin expansion is a good solution for the reconstruction of head and neck defects. We assessed the complications of cervico-facial skin expansion technique to draft recommendations so as to minimize risks. We made a retrospective study from 1990 to 2005. Complications were analyzed according to age,...
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| Veröffentlicht in: | Revue de stomatologie et de chirurgie maxillo-faciale 2012-12, Vol.113 (6), p.411-414 |
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| creator | Belghith, A Jeblaoui, Y Njah, H Zairi, I Zitouni, K Adouani, A |
| description | Skin expansion is a good solution for the reconstruction of head and neck defects. We assessed the complications of cervico-facial skin expansion technique to draft recommendations so as to minimize risks.
We made a retrospective study from 1990 to 2005. Complications were analyzed according to age, sex, etiology, area to reconstruct, location of the expander, expander volume and number, simultaneous single or repeated technique, type of expander, duration of expansion, and type of flap used for reconstruction.
One hundred and thirty-nine tissue expanders were placed in 114 patients. The rate of complications was 60.4%. Age was not a risk factor (P=0.21; Fisher's exact test). The early complications were not related to the expander volume (P=0.32; Fisher's exact test). Infection was the most frequent complication (51.3%). Hypertrophic or large scars, retraction, or cording accounted for 32.4% of sequels. A rate of 6.5% of total and 6.5% of partial failure were recorded. Infection was the cause of 77.8% of total or partial failure.
The complications of head and neck soft tissue expansion are often minor. The rate of reconstruction failure remains acceptable. |
| doi_str_mv | 10.1016/j.stomax.2012.10.004 |
| format | Article |
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We made a retrospective study from 1990 to 2005. Complications were analyzed according to age, sex, etiology, area to reconstruct, location of the expander, expander volume and number, simultaneous single or repeated technique, type of expander, duration of expansion, and type of flap used for reconstruction.
One hundred and thirty-nine tissue expanders were placed in 114 patients. The rate of complications was 60.4%. Age was not a risk factor (P=0.21; Fisher's exact test). The early complications were not related to the expander volume (P=0.32; Fisher's exact test). Infection was the most frequent complication (51.3%). Hypertrophic or large scars, retraction, or cording accounted for 32.4% of sequels. A rate of 6.5% of total and 6.5% of partial failure were recorded. Infection was the cause of 77.8% of total or partial failure.
The complications of head and neck soft tissue expansion are often minor. The rate of reconstruction failure remains acceptable.</description><identifier>EISSN: 1776-257X</identifier><identifier>DOI: 10.1016/j.stomax.2012.10.004</identifier><identifier>PMID: 23183330</identifier><language>fre</language><publisher>France</publisher><subject>Adolescent ; Adult ; Age Factors ; Burns - surgery ; Child ; Child, Preschool ; Cicatrix, Hypertrophic - etiology ; Contracture - etiology ; Dentistry ; Female ; Follow-Up Studies ; Graft Survival ; Head - surgery ; Head and Neck Neoplasms - congenital ; Head and Neck Neoplasms - surgery ; Humans ; Male ; Middle Aged ; Neck - surgery ; Nevus - congenital ; Nevus - surgery ; Retrospective Studies ; Risk Factors ; Sex Factors ; Skin Transplantation ; Surgical Flaps - classification ; Surgical Wound Dehiscence - etiology ; Surgical Wound Infection - etiology ; Time Factors ; Tissue Expansion - adverse effects ; Tissue Expansion Devices - adverse effects ; Tissue Expansion Devices - classification ; Young Adult</subject><ispartof>Revue de stomatologie et de chirurgie maxillo-faciale, 2012-12, Vol.113 (6), p.411-414</ispartof><rights>Copyright © 2012. Published by Elsevier Masson SAS.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23183330$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Belghith, A</creatorcontrib><creatorcontrib>Jeblaoui, Y</creatorcontrib><creatorcontrib>Njah, H</creatorcontrib><creatorcontrib>Zairi, I</creatorcontrib><creatorcontrib>Zitouni, K</creatorcontrib><creatorcontrib>Adouani, A</creatorcontrib><title>Complications of head and neck skin expansion</title><title>Revue de stomatologie et de chirurgie maxillo-faciale</title><addtitle>Rev Stomatol Chir Maxillofac</addtitle><description>Skin expansion is a good solution for the reconstruction of head and neck defects. We assessed the complications of cervico-facial skin expansion technique to draft recommendations so as to minimize risks.
We made a retrospective study from 1990 to 2005. Complications were analyzed according to age, sex, etiology, area to reconstruct, location of the expander, expander volume and number, simultaneous single or repeated technique, type of expander, duration of expansion, and type of flap used for reconstruction.
One hundred and thirty-nine tissue expanders were placed in 114 patients. The rate of complications was 60.4%. Age was not a risk factor (P=0.21; Fisher's exact test). The early complications were not related to the expander volume (P=0.32; Fisher's exact test). Infection was the most frequent complication (51.3%). Hypertrophic or large scars, retraction, or cording accounted for 32.4% of sequels. A rate of 6.5% of total and 6.5% of partial failure were recorded. Infection was the cause of 77.8% of total or partial failure.
The complications of head and neck soft tissue expansion are often minor. The rate of reconstruction failure remains acceptable.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Burns - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cicatrix, Hypertrophic - etiology</subject><subject>Contracture - etiology</subject><subject>Dentistry</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Graft Survival</subject><subject>Head - surgery</subject><subject>Head and Neck Neoplasms - congenital</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neck - surgery</subject><subject>Nevus - congenital</subject><subject>Nevus - surgery</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Skin Transplantation</subject><subject>Surgical Flaps - classification</subject><subject>Surgical Wound Dehiscence - etiology</subject><subject>Surgical Wound Infection - etiology</subject><subject>Time Factors</subject><subject>Tissue Expansion - adverse effects</subject><subject>Tissue Expansion Devices - adverse effects</subject><subject>Tissue Expansion Devices - classification</subject><subject>Young Adult</subject><issn>1776-257X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1z81KxDAUBeAgiDOOvoFIl25a703SpFnK4B8MuFFwV27bW-xM29SmhfHtLTiuDhw-DhwhbhASBDT3-yRMvqNjIgHlUiUA-kys0VoTy9R-rsRlCHsAaYzEC7GSCjOlFKxFvPXd0DYlTY3vQ-Tr6Iupiqivop7LQxQOTR_xcaA-LOBKnNfUBr4-5UZ8PD2-b1_i3dvz6_ZhFw-ocYorIsq4ZnbKkAFTO8uOXMVYZKStTLMULHBJXGiDmSSymaoQOK1Lco7VRtz97Q6j_545THnXhJLblnr2c8hRKgdpqrVc6O2JzkXHVT6MTUfjT_5_Uf0CW1tSzA</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Belghith, A</creator><creator>Jeblaoui, Y</creator><creator>Njah, H</creator><creator>Zairi, I</creator><creator>Zitouni, K</creator><creator>Adouani, A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201212</creationdate><title>Complications of head and neck skin expansion</title><author>Belghith, A ; Jeblaoui, Y ; Njah, H ; Zairi, I ; Zitouni, K ; Adouani, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-daaa8efee936a606f97e9a9de1b8a472585070ecaeb46182aa783d10e5fca99e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Burns - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cicatrix, Hypertrophic - etiology</topic><topic>Contracture - etiology</topic><topic>Dentistry</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Graft Survival</topic><topic>Head - surgery</topic><topic>Head and Neck Neoplasms - congenital</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neck - surgery</topic><topic>Nevus - congenital</topic><topic>Nevus - surgery</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Skin Transplantation</topic><topic>Surgical Flaps - classification</topic><topic>Surgical Wound Dehiscence - etiology</topic><topic>Surgical Wound Infection - etiology</topic><topic>Time Factors</topic><topic>Tissue Expansion - adverse effects</topic><topic>Tissue Expansion Devices - adverse effects</topic><topic>Tissue Expansion Devices - classification</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Belghith, A</creatorcontrib><creatorcontrib>Jeblaoui, Y</creatorcontrib><creatorcontrib>Njah, H</creatorcontrib><creatorcontrib>Zairi, I</creatorcontrib><creatorcontrib>Zitouni, K</creatorcontrib><creatorcontrib>Adouani, A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revue de stomatologie et de chirurgie maxillo-faciale</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Belghith, A</au><au>Jeblaoui, Y</au><au>Njah, H</au><au>Zairi, I</au><au>Zitouni, K</au><au>Adouani, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications of head and neck skin expansion</atitle><jtitle>Revue de stomatologie et de chirurgie maxillo-faciale</jtitle><addtitle>Rev Stomatol Chir Maxillofac</addtitle><date>2012-12</date><risdate>2012</risdate><volume>113</volume><issue>6</issue><spage>411</spage><epage>414</epage><pages>411-414</pages><eissn>1776-257X</eissn><abstract>Skin expansion is a good solution for the reconstruction of head and neck defects. We assessed the complications of cervico-facial skin expansion technique to draft recommendations so as to minimize risks.
We made a retrospective study from 1990 to 2005. Complications were analyzed according to age, sex, etiology, area to reconstruct, location of the expander, expander volume and number, simultaneous single or repeated technique, type of expander, duration of expansion, and type of flap used for reconstruction.
One hundred and thirty-nine tissue expanders were placed in 114 patients. The rate of complications was 60.4%. Age was not a risk factor (P=0.21; Fisher's exact test). The early complications were not related to the expander volume (P=0.32; Fisher's exact test). Infection was the most frequent complication (51.3%). Hypertrophic or large scars, retraction, or cording accounted for 32.4% of sequels. A rate of 6.5% of total and 6.5% of partial failure were recorded. Infection was the cause of 77.8% of total or partial failure.
The complications of head and neck soft tissue expansion are often minor. The rate of reconstruction failure remains acceptable.</abstract><cop>France</cop><pmid>23183330</pmid><doi>10.1016/j.stomax.2012.10.004</doi><tpages>4</tpages></addata></record> |
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| ispartof | Revue de stomatologie et de chirurgie maxillo-faciale, 2012-12, Vol.113 (6), p.411-414 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Adult Age Factors Burns - surgery Child Child, Preschool Cicatrix, Hypertrophic - etiology Contracture - etiology Dentistry Female Follow-Up Studies Graft Survival Head - surgery Head and Neck Neoplasms - congenital Head and Neck Neoplasms - surgery Humans Male Middle Aged Neck - surgery Nevus - congenital Nevus - surgery Retrospective Studies Risk Factors Sex Factors Skin Transplantation Surgical Flaps - classification Surgical Wound Dehiscence - etiology Surgical Wound Infection - etiology Time Factors Tissue Expansion - adverse effects Tissue Expansion Devices - adverse effects Tissue Expansion Devices - classification Young Adult |
| title | Complications of head and neck skin expansion |
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