Treatment of burn alopecia with tissue expanders in children
During the past 18 months, 60 tissue expanders were utilized in the reconstruction of 42 children with burn alopecia of the scalp not amenable to a single excision and primary closure at the Shriners Burns Institute in Galveston, Texas. The children were grouped according to the degree of alopecia....
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| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 1988-04, Vol.81 (4), p.512-515 |
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| container_title | Plastic and reconstructive surgery (1963) |
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| creator | BUHRER, D. P HUANG, T. T YEE, H. W BLACKWELL, S. J |
| description | During the past 18 months, 60 tissue expanders were utilized in the reconstruction of 42 children with burn alopecia of the scalp not amenable to a single excision and primary closure at the Shriners Burns Institute in Galveston, Texas. The children were grouped according to the degree of alopecia. All patients with defects of 15 percent or less of the total hair-bearing scalp were able to obtain complete closure of their defects with two operations, i.e., one to place the expander and the second to remove the expander and advance the flaps. Some patients with defects up to 40 percent were closed with serial expansion. Patients with even larger defects had a significant reduction in the percentage of alopecia and benefited from re-creation of anterior hairlines. We have encountered a postoperative complication rate of 10 percent. When compared to previous methods of treating burn alopecia, tissue expansion allows a more rapid closure, fewer operations and coincident anesthetics, and decreased total length of hospitalization. |
| doi_str_mv | 10.1097/00006534-198804000-00005 |
| format | Article |
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When compared to previous methods of treating burn alopecia, tissue expansion allows a more rapid closure, fewer operations and coincident anesthetics, and decreased total length of hospitalization.</description><identifier>ISSN: 0032-1052</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/00006534-198804000-00005</identifier><identifier>PMID: 3347660</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Alopecia - etiology ; Alopecia - surgery ; Biological and medical sciences ; Burns ; Burns - complications ; Child ; Child, Preschool ; Female ; Humans ; Male ; Medical sciences ; Prostheses and Implants - adverse effects ; Scalp - injuries ; Surgery, Plastic - adverse effects ; Surgery, Plastic - instrumentation ; Surgery, Plastic - methods ; Traumas. 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T</creatorcontrib><creatorcontrib>YEE, H. W</creatorcontrib><creatorcontrib>BLACKWELL, S. J</creatorcontrib><title>Treatment of burn alopecia with tissue expanders in children</title><title>Plastic and reconstructive surgery (1963)</title><addtitle>Plast Reconstr Surg</addtitle><description>During the past 18 months, 60 tissue expanders were utilized in the reconstruction of 42 children with burn alopecia of the scalp not amenable to a single excision and primary closure at the Shriners Burns Institute in Galveston, Texas. The children were grouped according to the degree of alopecia. All patients with defects of 15 percent or less of the total hair-bearing scalp were able to obtain complete closure of their defects with two operations, i.e., one to place the expander and the second to remove the expander and advance the flaps. Some patients with defects up to 40 percent were closed with serial expansion. Patients with even larger defects had a significant reduction in the percentage of alopecia and benefited from re-creation of anterior hairlines. We have encountered a postoperative complication rate of 10 percent. When compared to previous methods of treating burn alopecia, tissue expansion allows a more rapid closure, fewer operations and coincident anesthetics, and decreased total length of hospitalization.</description><subject>Adolescent</subject><subject>Alopecia - etiology</subject><subject>Alopecia - surgery</subject><subject>Biological and medical sciences</subject><subject>Burns</subject><subject>Burns - complications</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Prostheses and Implants - adverse effects</subject><subject>Scalp - injuries</subject><subject>Surgery, Plastic - adverse effects</subject><subject>Surgery, Plastic - instrumentation</subject><subject>Surgery, Plastic - methods</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0032-1052</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kElLA0EQhRtRYoz-BKEP4m209wW8iLhBwEs8D53uGtIym90zqP_eiYmpS1HvvaqCDyFMyQ0lVt-SqZTkoqDWGCKmqdhK8gjNqWS2EEywYzQnhLOCEslO0VnOH4RQzZWcoRnnQitF5uhulcANDbQD7iq8HlOLXd314KPDX3HY4CHmPAKG7961AVLGscV-E-uQoD1HJ5WrM1zs-wK9Pz2uHl6K5dvz68P9svCc26GoOHVCaEftWillrNM2gFZB-ipUErw1bCs678AHK4z3xGjBKm04cBk0X6Dr3d0-dZ8j5KFsYvZQ166FbsylNpRJyvgUNLugT13OCaqyT7Fx6aekpNyCK__BlQdwf5KcVi_3P8Z1A-GwuCc1-Vd732Xv6iq51sd8iGktmWGK_wKM13U3</recordid><startdate>19880401</startdate><enddate>19880401</enddate><creator>BUHRER, D. P</creator><creator>HUANG, T. T</creator><creator>YEE, H. W</creator><creator>BLACKWELL, S. 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P</creatorcontrib><creatorcontrib>HUANG, T. T</creatorcontrib><creatorcontrib>YEE, H. W</creatorcontrib><creatorcontrib>BLACKWELL, S. J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BUHRER, D. P</au><au>HUANG, T. T</au><au>YEE, H. W</au><au>BLACKWELL, S. 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Some patients with defects up to 40 percent were closed with serial expansion. Patients with even larger defects had a significant reduction in the percentage of alopecia and benefited from re-creation of anterior hairlines. We have encountered a postoperative complication rate of 10 percent. When compared to previous methods of treating burn alopecia, tissue expansion allows a more rapid closure, fewer operations and coincident anesthetics, and decreased total length of hospitalization.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>3347660</pmid><doi>10.1097/00006534-198804000-00005</doi><tpages>4</tpages></addata></record> |
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| ispartof | Plastic and reconstructive surgery (1963), 1988-04, Vol.81 (4), p.512-515 |
| issn | 0032-1052 1529-4242 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Alopecia - etiology Alopecia - surgery Biological and medical sciences Burns Burns - complications Child Child, Preschool Female Humans Male Medical sciences Prostheses and Implants - adverse effects Scalp - injuries Surgery, Plastic - adverse effects Surgery, Plastic - instrumentation Surgery, Plastic - methods Traumas. Diseases due to physical agents |
| title | Treatment of burn alopecia with tissue expanders in children |
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