TY - JOUR AU - Fattah, Jalal Hamasalih PY - 2014/12/01 Y2 - 2024/03/28 TI - Postburn head and neck reconstruction using tissue expanders JF - Zanco Journal of Medical Sciences (Zanco J Med Sci) JA - Zanco J Med Sci VL - 18 IS - 3 SE - Original Articles DO - 10.15218/zjms.2014.0034 UR - https://zjms.hmu.edu.krd/index.php/zjms/article/view/257 SP - 786-792 AB - <p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: 'Arial','sans-serif'; font-size: 12pt;">Background and objective: </span></strong><span style="font-family: 'Arial','sans-serif'; font-size: 12pt;">Tissue expanders are useful adjuvant in reconstruction after burn</span><span style="font-family: 'Arial','sans-serif'; font-size: 12pt;">.</span><span style="font-family: 'Arial','sans-serif'; font-size: 12pt;"> The technique provides tissue of similar texture and color to the defect to be covered and has the added advantage of minimal donor site morbidity. The study aimed to assess the outcome and complications of using tissue expansion for head and neck postburn reconstruction.&nbsp;</span></p><p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: 'Arial','sans-serif'; font-size: 12pt;">Methods: </span></strong><span style="font-family: 'Arial','sans-serif'; font-size: 12pt;">Thirty patients with head and neck burn scar, treated with thirty eight tissue expanders, were included in this prospective study at the Plastic Surgery Department in Rizgari Teaching Hospital in Erbil from April 2009 to November 2012, with the mean age of 14 years. Statistical package for social sciences (SPSS version 18) was used for data entry and analysis.</span></p><p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: 'Arial','sans-serif'; font-size: 12pt;">Results: </span></strong><span style="font-family: 'Arial','sans-serif'; font-size: 12pt;">The commonest use of tissue expander was for treating postburn scar alopecia (18 patients, 60%), followed by postburn cheek scar (six patients 20%). The scar size ranged from 4x10cm to 16x24cm. Complete burn scar excision was possible in 80% of cases with single or multiple sessions of expansion. Early exposure of the expander followed by infection occurred in three cases (10%), which led to interruption of the expansion and expander removal. Satisfactory results were achieved after reconstruction in 90% of cases.</span></p><p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: 'Arial','sans-serif'; font-size: 12pt;">Conclusion: </span></strong><span style="font-family: 'Arial','sans-serif'; font-size: 12pt;">Tissue expansion, if carefully planned and conducted, is one of the treatments of choice for post-burn reconstruction of the head and neck, allowing an expanded flap suitable for versatile coverage.</span></p> ER -