Repeated tissue expansions on solit-thickness skin graft in a patient with neurocutaneous syndrome

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dc.contributor.authorCanter, Halil İbrahim
dc.contributor.authorİğde, Murat
dc.contributor.authorVargel, İbrahim
dc.contributor.authorÖzgür, Figen
dc.date.accessioned2020-06-25T17:43:50Z
dc.date.available2020-06-25T17:43:50Z
dc.date.issued2007
dc.description.abstractSoft tissue expansion is a mechanical process that increases the surface area of local tissue available for reconstructive procedures. In most cases, adjacent tissue that matches the recipient site in color, texture, and hair-bearing quality is preferred for tissue expansion. In this particular case with neurocutaneous syndrome, the defects that resulted from removal of parts of a giant hairy nevus overlying the latissimus dorsi muscle bilaterally were grafted with a split-thickness skin graft. Two expanders were then placed under the latissimus dorsi muscles. After full expansion of the grafted area, some part of the remaining nevus surrounding the grafted area was removed and the defects were covered with the expanded skin graft obtained after deflation of the expanders. The expanders placed under the latissimus dorsi muscle in the first operation were reused in the second operation to obtain a second expansion of the skin graft. After the second expansion of the skin graft, the expanders were deflated and another portion of the remaining nevus surrounding the grafted area was removed. The resulting defects were again covered with the excess expanded skin graft. Although repeated expansion of the skin graft is a time-consuming and laborious process, it eliminates the need for taking repeated skin grafts; it decreases skin graft donor site morbidity; it decreases possible infectious complications of tissue expansion by decreasing the number of surgical interventions to the expander pocket; and it increases the aesthetic outcome by keeping all the surgical scars around the grafted Area without extending them into healthy surrounding skin.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1097/scs.0b013e318052fe58
dc.identifier.endpage703en_US
dc.identifier.issn1049-2275
dc.identifier.issue3en_US
dc.identifier.pmid17538342
dc.identifier.scopus2-s2.0-34249791155
dc.identifier.scopusqualityQ3
dc.identifier.startpage699en_US
dc.identifier.urihttps://doi.org10.1097/scs.0b013e318052fe58
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3914
dc.identifier.volume18en_US
dc.identifier.wosWOS:000246986300040
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Craniofacial Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectrepeated tissue expansionsen_US
dc.subjectsplit-thicknessen_US
dc.subjectskin graften_US
dc.subjectcongenital giant nevusen_US
dc.subjectneurocutaneous syndromeen_US
dc.titleRepeated tissue expansions on solit-thickness skin graft in a patient with neurocutaneous syndromeen_US
dc.typeArticle

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