Full-load expansion technique and preliminary clinical application

For accelerating the inflation process of soft-tissue expansion, a continuous inflation protocol regarding pain as the criterion of overinflation, the full-load expansion technique, has been introduced. It is carried out by restricting persistently the pressure in the expander near the pain threshold in a state of dynamic equilibrium between the infusing rate and the skin expansion velocity with a simple and practical device. This inflation is neither at a uniform infusion rate nor at a constant filling pressure. Nineteen expanders in 13 patients were inflated following this protocol. Their inflations were fulfilled in 5 to 20 days, depending individually on their anatomic regions, total volumes of infusion, areas of the overlying skin, and patient susceptibilities.