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Tissue expansion reconstruction of head and neck burn injuries in paediatric patients – a systematic review

Kalaskar, D; F I De La Cruz Monroy, M; Khawaja Gulraiz, R; (2018) Tissue expansion reconstruction of head and neck burn injuries in paediatric patients – a systematic review. [Review]. JPRAS Open , 18 pp. 78-97. 10.1016/j.jpra.2018.10.004. Green open access

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Abstract

Tissue expansion reconstruction in clinical practice has existed for over half a century. The technique was initially used for breast reconstruction but later found its use in reconstruction of excisional defects resulting from a variety of causes including surgery for post-burn/post-traumatic deformities, congenital giant naevi, skin cancer, etc. It offers an improved matching of skin colour and texture, and avoids the high infrastructure requirements of microsurgery for free flap transfers. We present a systematic literature review of 35 worldwide English language articles with representative cases of paediatric tissue expansion reconstruction of burn injuries of the head and neck. The review identified 68 children of an average age of 11.3 years. The most common burn aetiology was flame burn injury. The average area to be reconstructed was of 206 cm2 and patients went through expansion processes for an average of 99.7 days. Three articles included cases in which patients had more than one expansion session. Supportive techniques provide examples of developments in the area of tissue expansion reconstruction such as self-inflating expanders and endoscopic approaches. Further studies focussing on particular indications, age groups and anatomical locations of tissues to be expanded are required in order to improve the understanding of this technique's limitations and continue its development.

Type: Article
Title: Tissue expansion reconstruction of head and neck burn injuries in paediatric patients – a systematic review
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jpra.2018.10.004
Publisher version: https://doi.org/10.1016/j.jpra.2018.10.004
Language: English
Additional information: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Tissue expansion, Tissue expande, rHead and neck, Burns, Burn injury, Children, Paediatrics paediatrics, Reconstruction
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Ortho and MSK Science
URI: https://discovery.ucl.ac.uk/id/eprint/10061064
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