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Techniques in hand & upper extremity surgery2006; 7(1); 7-11; doi: 10.1097/00130911-200303000-00003

Tissue expansion.

Abstract: Tissue expansion in the upper extremity is a valuable technique with expanding indications and expected outcomes. The primary indications are coverage problems after trauma, but the technique is also applicable to defects caused by treatment of hemangioma, nevi, tattoos, or hypertrophic scars as well as correction of unstable tissue or as an alternative to free tissue transfer. The advantage of expansion-specifically, match in tissue texture and retention of sensibility-may be more important in the hand and upper extremity than in other areas. The inevitable capsule that forms around the expander does provide a smooth gliding surface for tendons in the forearm and wrist. In conclusion, tissue expansion of the upper extremity offers the surgeon the ability to improve cosmesis in one location without having to sacrifice cosmesis at a second site.
Publication Date: 2006-03-07 PubMed ID: 16518249DOI: 10.1097/00130911-200303000-00003Google Scholar: Lookup
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  • Journal Article

Summary

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The research article presents an evaluation of tissue expansion as an option for wound healing in horses, acknowledging its limitations but also noting its successes in human medicine which could trigger interest for its application in veterinary medicine.

Overview of Tissue Expansion

  • Tissue expansion is a procedure used primarily in reconstructive surgery where excess skin is stretched and grown using an inflatable balloon or expander inserted under the skin.
  • The technique is ordinarily used to repair or replace areas damaged due to burns, injuries, or surgery.

Comparison with Traditional Wound Healing Techniques

  • The authors note that despite tissue expansion’s potential, it’s unlikely to replace existing methods like skin grafting – a technique where skin is removed from one area of the body and transplanted to another.
  • Nevertheless, they point out that tissue expansion can offer better protection for large defects where traditional grafting techniques would not be as effective.

Cosmetic Appearance

  • Another advantage of tissue expansion mentioned in the research is the superior aesthetic results it can produce.
  • As opposed to grafting, which may leave visible scars or discoloration at the graft site, tissue expansion uses the patient’s own skin, maintaining uniformity in texture and color across the treatment area.

Implication for Veterinary Medicine

  • The authors suggest that due to the successes of tissue expansion in human medicine, there could be increased client interest in using these techniques in horses.
  • In conclusion, they suggest further exploration into the viability of tissue expansion in veterinary medicine, despite its current limitations.

Cite This Article

APA
Heitmann C, Levin LS. (2006). Tissue expansion. Tech Hand Up Extrem Surg, 7(1), 7-11. https://doi.org/10.1097/00130911-200303000-00003

Publication

ISSN: 1089-3393
NlmUniqueID: 9704676
Country: United States
Language: English
Volume: 7
Issue: 1
Pages: 7-11

Researcher Affiliations

Heitmann, Christoph
  • Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery Duke University Medical Center Durham, North Carolina, U.S.A.
Levin, L Scott

    Citations

    This article has been cited 1 times.
    1. Ibrahim AE, Dibo SA, Hayek SN, Atiyeh BS. Reverse tissue expansion by liposuction deflation for revision of post-surgical thigh scars. Int Wound J 2011 Dec;8(6):622-31.