Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations
Objectives The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expan...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Handschel, Jörg [verfasserIn] Schultz, Stefanie [verfasserIn] Depprich, Rita A. [verfasserIn] Smeets, Ralf [verfasserIn] Sproll, Christoph [verfasserIn] Ommerborn, Michelle A. [verfasserIn] Naujoks, Christian [verfasserIn] Kübler, Norbert R. [verfasserIn] Zimmermann, André [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2012 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Clinical Oral Investigations - Springer-Verlag, 2001, 17(2012), 2 vom: 06. Mai, Seite 573-578 |
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| Übergeordnetes Werk: |
volume:17 ; year:2012 ; number:2 ; day:06 ; month:05 ; pages:573-578 |
| Links: |
|---|
| DOI / URN: |
10.1007/s00784-012-0747-8 |
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SPR007804407 |
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| 520 | |a Objectives The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Materials and methods Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. Results The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. Conclusions The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 $ cm^{2} $) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. Clinical relevance The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. | ||
| 650 | 4 | |a Tissue expansion |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Soft tissue defects |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Head and neck |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Complications |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Schultz, Stefanie |e verfasserin |4 aut | |
| 700 | 1 | |a Depprich, Rita A. |e verfasserin |4 aut | |
| 700 | 1 | |a Smeets, Ralf |e verfasserin |4 aut | |
| 700 | 1 | |a Sproll, Christoph |e verfasserin |4 aut | |
| 700 | 1 | |a Ommerborn, Michelle A. |e verfasserin |4 aut | |
| 700 | 1 | |a Naujoks, Christian |e verfasserin |4 aut | |
| 700 | 1 | |a Kübler, Norbert R. |e verfasserin |4 aut | |
| 700 | 1 | |a Zimmermann, André |e verfasserin |4 aut | |
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10.1007/s00784-012-0747-8 doi (DE-627)SPR007804407 (SPR)s00784-012-0747-8-e DE-627 ger DE-627 rakwb eng Handschel, Jörg verfasserin aut Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Materials and methods Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. Results The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. Conclusions The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 $ cm^{2} $) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. Clinical relevance The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Tissue expansion (dpeaa)DE-He213 Soft tissue defects (dpeaa)DE-He213 Head and neck (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Schultz, Stefanie verfasserin aut Depprich, Rita A. verfasserin aut Smeets, Ralf verfasserin aut Sproll, Christoph verfasserin aut Ommerborn, Michelle A. verfasserin aut Naujoks, Christian verfasserin aut Kübler, Norbert R. verfasserin aut Zimmermann, André verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 17(2012), 2 vom: 06. Mai, Seite 573-578 (DE-627)SPR007794231 nnns volume:17 year:2012 number:2 day:06 month:05 pages:573-578 https://dx.doi.org/10.1007/s00784-012-0747-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 17 2012 2 06 05 573-578 |
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10.1007/s00784-012-0747-8 doi (DE-627)SPR007804407 (SPR)s00784-012-0747-8-e DE-627 ger DE-627 rakwb eng Handschel, Jörg verfasserin aut Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Materials and methods Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. Results The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. Conclusions The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 $ cm^{2} $) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. Clinical relevance The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Tissue expansion (dpeaa)DE-He213 Soft tissue defects (dpeaa)DE-He213 Head and neck (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Schultz, Stefanie verfasserin aut Depprich, Rita A. verfasserin aut Smeets, Ralf verfasserin aut Sproll, Christoph verfasserin aut Ommerborn, Michelle A. verfasserin aut Naujoks, Christian verfasserin aut Kübler, Norbert R. verfasserin aut Zimmermann, André verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 17(2012), 2 vom: 06. Mai, Seite 573-578 (DE-627)SPR007794231 nnns volume:17 year:2012 number:2 day:06 month:05 pages:573-578 https://dx.doi.org/10.1007/s00784-012-0747-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 17 2012 2 06 05 573-578 |
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10.1007/s00784-012-0747-8 doi (DE-627)SPR007804407 (SPR)s00784-012-0747-8-e DE-627 ger DE-627 rakwb eng Handschel, Jörg verfasserin aut Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Materials and methods Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. Results The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. Conclusions The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 $ cm^{2} $) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. Clinical relevance The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Tissue expansion (dpeaa)DE-He213 Soft tissue defects (dpeaa)DE-He213 Head and neck (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Schultz, Stefanie verfasserin aut Depprich, Rita A. verfasserin aut Smeets, Ralf verfasserin aut Sproll, Christoph verfasserin aut Ommerborn, Michelle A. verfasserin aut Naujoks, Christian verfasserin aut Kübler, Norbert R. verfasserin aut Zimmermann, André verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 17(2012), 2 vom: 06. Mai, Seite 573-578 (DE-627)SPR007794231 nnns volume:17 year:2012 number:2 day:06 month:05 pages:573-578 https://dx.doi.org/10.1007/s00784-012-0747-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 17 2012 2 06 05 573-578 |
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10.1007/s00784-012-0747-8 doi (DE-627)SPR007804407 (SPR)s00784-012-0747-8-e DE-627 ger DE-627 rakwb eng Handschel, Jörg verfasserin aut Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Materials and methods Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. Results The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. Conclusions The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 $ cm^{2} $) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. Clinical relevance The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Tissue expansion (dpeaa)DE-He213 Soft tissue defects (dpeaa)DE-He213 Head and neck (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Schultz, Stefanie verfasserin aut Depprich, Rita A. verfasserin aut Smeets, Ralf verfasserin aut Sproll, Christoph verfasserin aut Ommerborn, Michelle A. verfasserin aut Naujoks, Christian verfasserin aut Kübler, Norbert R. verfasserin aut Zimmermann, André verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 17(2012), 2 vom: 06. Mai, Seite 573-578 (DE-627)SPR007794231 nnns volume:17 year:2012 number:2 day:06 month:05 pages:573-578 https://dx.doi.org/10.1007/s00784-012-0747-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 17 2012 2 06 05 573-578 |
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10.1007/s00784-012-0747-8 doi (DE-627)SPR007804407 (SPR)s00784-012-0747-8-e DE-627 ger DE-627 rakwb eng Handschel, Jörg verfasserin aut Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Materials and methods Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. Results The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. Conclusions The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 $ cm^{2} $) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. Clinical relevance The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Tissue expansion (dpeaa)DE-He213 Soft tissue defects (dpeaa)DE-He213 Head and neck (dpeaa)DE-He213 Complications (dpeaa)DE-He213 Schultz, Stefanie verfasserin aut Depprich, Rita A. verfasserin aut Smeets, Ralf verfasserin aut Sproll, Christoph verfasserin aut Ommerborn, Michelle A. verfasserin aut Naujoks, Christian verfasserin aut Kübler, Norbert R. verfasserin aut Zimmermann, André verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 17(2012), 2 vom: 06. Mai, Seite 573-578 (DE-627)SPR007794231 nnns volume:17 year:2012 number:2 day:06 month:05 pages:573-578 https://dx.doi.org/10.1007/s00784-012-0747-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 17 2012 2 06 05 573-578 |
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Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations |
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Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations |
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Handschel, Jörg |
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Clinical Oral Investigations |
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Clinical Oral Investigations |
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2012 |
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Handschel, Jörg Schultz, Stefanie Depprich, Rita A. Smeets, Ralf Sproll, Christoph Ommerborn, Michelle A. Naujoks, Christian Kübler, Norbert R. Zimmermann, André |
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Elektronische Aufsätze |
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Handschel, Jörg |
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10.1007/s00784-012-0747-8 |
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verfasserin |
| title_sort |
tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations |
| title_auth |
Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations |
| abstract |
Objectives The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Materials and methods Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. Results The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. Conclusions The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 $ cm^{2} $) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. Clinical relevance The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. |
| abstractGer |
Objectives The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Materials and methods Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. Results The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. Conclusions The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 $ cm^{2} $) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. Clinical relevance The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. |
| abstract_unstemmed |
Objectives The repair of skin defects in the head and neck region still poses a significant problem for many clinicians. Tissue expansion is described as a treatment option providing good color, texture, and thickness match of the expanded skin. Unfortunately, the complication rates for tissue expansion range from 0 to 48 %. Therefore, the purpose of this study was to investigate risk factors for the use of tissue expanders in head and neck reconstructions. Materials and methods Forty-nine patients with skin deficits in the head and neck area underwent tissue expansion. Sixty-two implanted expanders were analyzed regarding the various complications and the success rate. Results The success rate of treated patients was 37 (75.5 %) of all 49 included patients. The most frequent cause for the skin deficit was a tumor resection near the tip of the nose followed by skin deficits resulting after craniectomy. Interestingly, a higher number of expanders and a larger volume were significantly associated with a worse outcome. There was a trend of association between larger defect size and failure, too. Conclusions The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. Compared to distant or free flaps, it often offers a better cosmetic outcome. In very large defects (>100 $ cm^{2} $) or when more than two expanders are needed, the failure rate increases. In these cases, other treatment options are recommended. Clinical relevance The internal tissue expansion is a suitable technique for skin reconstruction in the head and face area. |
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Tissue expanders for soft tissue reconstruction in the head and neck area—requirements and limitations |
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Schultz, Stefanie Depprich, Rita A. Smeets, Ralf Sproll, Christoph Ommerborn, Michelle A. Naujoks, Christian Kübler, Norbert R. Zimmermann, André |
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Schultz, Stefanie Depprich, Rita A. Smeets, Ralf Sproll, Christoph Ommerborn, Michelle A. Naujoks, Christian Kübler, Norbert R. Zimmermann, André |
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2024-07-03T15:21:02.006Z |
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