Tissue expansion is an alternative in reconstruction by providing donor tissue of the same color, texture, similar thickness, sensation with minimal scar formation and minor donor site morbidity.
Adjacent flap development by tissue expansion is the mechanical enlargement of the donor tissue by internal pressure induced through the expander, which is intermittenly and forcefully injected with normal saline. The modern ear of soft tissue expansion began following the pioneering efforts of Dr. Chedomir Radovan. His work was first present in 1976. Recently. It is widely and successfully used in various soft tissue defect or deformities.
I successfully applied the tissue expander in 6 patients. The first case was a 25 year old woman, who had multiple depressed scars in left lower extremity. The second case was a 30 year old man who had suffered from neck scar contracture following flame burn. The third case was a 13 year old boy with extensive depressive scars on both thing following degloving injury. The fouth case was a 25 year old womal, who had a burn scar on chin and neck. In the fifth case, 20 year old woman with Pland’s syndrom, who had unilateral breast agenesis with absence of pectoralis muscle, was reconstructed with transfer of latissums dorsi muscle flap and permannent breast implant insertion after temporary chest skin expansion. The sixth case was a 14 year old girl, who had a wide anterior tibial scar contracture.
All cases were successfully reconstructed without complications.
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