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Systematic Review of Tissue Expansion: Utilization in Non-breast Applications.

Publication ,  Journal Article
Langdell, HC; Taskindoust, M; Levites, HA; Mateas, C; Sergesketter, AR; Kaplan, SJ; Marcus, JR; Erdmann, D
Published in: Plast Reconstr Surg Glob Open
January 2021

BACKGROUND: Tissue expansion is a versatile reconstructive technique providing well-vascularized local tissue. The current literature focuses largely on tissue expansion for breast reconstruction and in the context of burn and pediatric skin/soft tissue replacement; however, less traditional applications are also prevalent. The aim of this study was to systematically review the utilization of tissue expansion in such less well-characterized circumstances. METHODS: The authors conducted a systematic review of all publications describing non-breast applications of tissue expansion. Variables regarding expander specifications, expansion process, and complications were collected and further analyzed. RESULTS: A total of 565 publications were identified. Of these, 166 publications described tissue expansion for "less traditional" indications, which fell into 5 categories: ear reconstruction, cranioplasty, abdominal wall reconstruction, orthopedic procedures, and genital (penile/scrotal and vaginal/vulva) reconstruction. While lower extremity expansion is known to have high complication rates, tissue expander failure, infection, and exposure rates were in fact highest for penile/scrotal (failure: 18.5%; infection: 15.5%; exposure: 12.5%) and vaginal/vulva (failure: 20.6%; infection: 10.3%; exposure: 6.9%) reconstruction. CONCLUSIONS: Tissue expansion enables index operations by providing additional skin before definitive reconstruction. Tissue expanders are a valuable option along the reconstructive ladder because they obviate the need for free tissue transfer. Although tissue expansion comes with inherent risk, aggregate outcome failures of the final reconstruction are similar to published rates of complications without pre-expansion. Thus, although tissue expansion requires a staged approach, it remains a valuable option in facilitating a variety of reconstructive procedures.

Duke Scholars

Published In

Plast Reconstr Surg Glob Open

DOI

ISSN

2169-7574

Publication Date

January 2021

Volume

9

Issue

1

Start / End Page

e3378

Location

United States

Related Subject Headings

  • 3213 Paediatrics
  • 3211 Oncology and carcinogenesis
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Langdell, H. C., Taskindoust, M., Levites, H. A., Mateas, C., Sergesketter, A. R., Kaplan, S. J., … Erdmann, D. (2021). Systematic Review of Tissue Expansion: Utilization in Non-breast Applications. Plast Reconstr Surg Glob Open, 9(1), e3378. https://doi.org/10.1097/GOX.0000000000003378
Langdell, Hannah C., Mahsa Taskindoust, Heather A. Levites, Catalin Mateas, Amanda R. Sergesketter, Samantha J. Kaplan, Jeffrey R. Marcus, and Detlev Erdmann. “Systematic Review of Tissue Expansion: Utilization in Non-breast Applications.Plast Reconstr Surg Glob Open 9, no. 1 (January 2021): e3378. https://doi.org/10.1097/GOX.0000000000003378.
Langdell HC, Taskindoust M, Levites HA, Mateas C, Sergesketter AR, Kaplan SJ, et al. Systematic Review of Tissue Expansion: Utilization in Non-breast Applications. Plast Reconstr Surg Glob Open. 2021 Jan;9(1):e3378.
Langdell, Hannah C., et al. “Systematic Review of Tissue Expansion: Utilization in Non-breast Applications.Plast Reconstr Surg Glob Open, vol. 9, no. 1, Jan. 2021, p. e3378. Pubmed, doi:10.1097/GOX.0000000000003378.
Langdell HC, Taskindoust M, Levites HA, Mateas C, Sergesketter AR, Kaplan SJ, Marcus JR, Erdmann D. Systematic Review of Tissue Expansion: Utilization in Non-breast Applications. Plast Reconstr Surg Glob Open. 2021 Jan;9(1):e3378.

Published In

Plast Reconstr Surg Glob Open

DOI

ISSN

2169-7574

Publication Date

January 2021

Volume

9

Issue

1

Start / End Page

e3378

Location

United States

Related Subject Headings

  • 3213 Paediatrics
  • 3211 Oncology and carcinogenesis
  • 3202 Clinical sciences