TISSUE EXPANDER: ITS EFFICACY IN ISFAHAN

M OMRANI FARD

Abstract


Introduction. Tissue expander is a new method in plastic surgery. This technique was used as a practical method from 1976. Tissue expander is made from silicone elastomer and is placed in subcutaneous and gradually expanded with saline solution Methods. This is an analytic study on 101 (72 female and 29 male). All patients were operated in Isfahan from 1995 to 1999 all patient followed for six months after operation.
Results. Seventy two cases were in 20-29 age group and 29 cases were in 30-39 age group. Tissue expander was used in head and neck (86. 1 percent), trunk (1.9 percent), and extremities (5.9 percent). Flap contracture (13.9 percent), flap hyperpigmentation (5.9 percent), hyposthesia (5.9 percent) and hyperesthesia (2 percent) were obsereved in patients. We detected temporary hair loss in 20 percent of patients operated for alopecia.
Discussion. Tissue expander method is ideal method for repair of skin defect because complication is low and in near 90 percent color is normal. Between flap pigmentation and sex is not any relation but between scar and age was some relationship.

Keywords


Tissue Expander, Tissue Defect, Contracture, Scar, Plastic Surgery, Complication