Case report

Application of changing the expansion stress point to the treatment of blood flow disorder of skin and soft tissue expander

  • Rao FU ,
  • Chuan-qi LIU ,
  • Bin FANG ,
  • Ru-lin HUANG ,
  • Qing-feng LI ,
  • Yun XIE
Expand
  • Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China

Received date: 2020-09-17

  Online published: 2021-02-28

Supported by

National Natural Science Foundation of China(81701917);Shanghai Pujiang Program(2019PJD024);Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Grant Support(20191916)

Abstract

The case is a 10-year-old male patient with facial scar deformity, who was admitted to the hospital 6 years after burns. Bilateral soft tissue expanders were implanted on his neck in order to improve facial scars. Later, the local hypertonicity, thinning of the skin and blood flow disorder of the expanded skin during the water injection were found and the existing treatments were not effective. The patient was re-admitted to hospital and a customized neck expander was replaced under local anesthesia to change the local stress of the weak point and complete further expansion. The expander had a water injection volume of 1 200 mL in the end. After that, the flap transfer repair operation was successfully completed. The clinical data of the case and the treatment of blood flow disorder caused by the implantation of the expander can provide reference for other surgeons.

Cite this article

Rao FU , Chuan-qi LIU , Bin FANG , Ru-lin HUANG , Qing-feng LI , Yun XIE . Application of changing the expansion stress point to the treatment of blood flow disorder of skin and soft tissue expander[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2021 , 41(2) : 277 -279 . DOI: 10.3969/j.issn.1674-8115.2021.02.025

References

1 黄长瑾, 宋维铭. 皮肤软组织扩张术: 历史、发展、技术变革及临床应用创新[J]. 中国组织工程研究, 2018, 22(8): 1267-1274.
2 吴远远, 张正文. 皮肤软组织扩张术常见并发症及防治[J]. 中国医疗美容, 2016, 6(5): 100-102.
3 程辰, 赵珮娟, 谢芸, 等. 自体脂肪移植干预扩张并发症的防治效果[J]. 中华医学美学美容杂志, 2020, 26 (3): 209-212.
4 Jiang TR, Zhao PJ, Cheng C, et al. Preventing the complications of tissue expansion using fat grafting under expanded skin[J]. J Plast Reconstr Aesthetic Surg, 2017, 70(8): 1151-1153.
5 谢芸, 姜陶然, 赵珮娟, 等. 一种防气管压迫的颈部专用扩张器: CN205459097U[P]. 2016-08-17.
6 Morrison KA, Ascherman BM, Ascherman JA. Evolving approaches to tissue expander design and application[J]. Plast Reconstr Surg, 2017, 140(5S advances in breast reconstruction): 23S-29S.
7 Fang L, Zhou C, Yang M. ‘Expansion in-situ’ concept as a new technique for expanding skin and soft tissue[J]. Exp Ther Med, 2013, 6(5): 1295-1299.
8 Neumann CG. The expansion of an area of skin by progressive distention of a subcutaneous balloon; use of the method for securing skin for subtotal reconstruction of the ear[J]. Plast Reconstr Surg (1946), 1957, 19(2): 124-130.
9 Radovan C. Breast reconstruction after mastectomy using the temporary expander[J]. Plast Reconstr Surg, 1982, 69(2): 195-206.
10 Argenta LC, Marks MW, Grabb WC. Selective use of serial expansion in breast reconstruction[J]. Ann Plast Surg, 1983, 11(3): 188-195.
11 Radwan AM, Zide MF. Tissue expansion in the head and neck[J]. Atlas Oral Maxillofac Surg Clin North Am, 2019, 27(2): 167-173.
12 肖汉, 殷国前. 皮肤扩张器注水后并发急性大片皮肤坏死的临床观察(附1例报告及文献复习)[J]. 广西医学, 2010, 32(3): 279-282.
13 Wang Q, Zhou L, Wang T, et al. Assisting rapid soft-tissue expansion with adipose-derived stem cells: an experimental study in a pig model[J]. Plast Reconstr Surg, 2018, 142(5): 674e-684e.
14 张卓然. 皮肤软组织扩张器及EGF在瘢痕整形的效果[J]. 中国城乡企业卫生, 2017, 32(7): 84-85.
15 师军涛, 黄凌云, 徐淑江, 等. 皮肤软组织扩张器联合重组人表皮生长因子在面颈部瘢痕中应用[J]. 中国医疗美容, 2019, 9(5): 35-39.
16 秦丹莹, 沈国良, 赵小瑜, 等. 面颈部瘢痕整形中应用皮肤软组织扩张器及rhEGF的效果[J]. 创伤外科杂志, 2016, 18(9): 537-540.
17 Lee T, Vaca EE, Ledwon JK, et al. Improving tissue expansion protocols through computational modeling[J]. J Mech Behav Biomed Mater, 2018, 82: 224-234.
Outlines

/