scholarly journals Pushing the envelope: Single stage primary closure of large flap donor sites with continuous external tissue expansion

2021 ◽  
Author(s):  
Sean M. Wade ◽  
Victor Moas ◽  
Robert M. Putko ◽  
Larissa R. Brandenburg ◽  
Angelica M. Melendez-Munoz ◽  
...  
Keyword(s):  
Primary Closure ◽  
Tissue Expansion ◽  
Single Stage

Retroauricular skin flap and primary Z-plasty for donor site closure in partial ear reconstruction

2003 ◽  
Vol 117 (6) ◽  
pp. 487-489 ◽  
Author(s):  
Raymund E. Horch ◽  
Joerg Schipper ◽  
Roland Laszig
Keyword(s):  
Primary Closure ◽  
Skin Flap ◽  
Donor Site ◽  
Single Stage ◽  
Ear Reconstruction ◽  
Cartilage Graft ◽  
Conchal Cartilage ◽  
Primary Donor ◽  
Conchal Cartilage Graft ◽  
Donor Site Defect

Helical rim defects are noticeable and may well need reconstruction, especially in men. A method for reconstructing this type of defect together with primary donor site closure by Z-plasty is described.To close partial helical rim defects, a retroauricular caudally based rotational skin flap is performed to cover a conchal cartilage graft from the same ear that is harvested first and sutured into place to remodel the helical rim. To primarily close the donor site defect a retroauricular Z-plasty was developed which easily allowed primary closure of the donor site.The technique described here is straightforward, safe and reproducible. The Z-plasty approach for closing the donor site is useful, since the slight disturbance of the hairline is well hidden retroauricularly. This technique can be considered as a single-stage repair modality for the reconstruction of helical rim defects within primary donor site closure.

scholarly journals Utilization of a Continuous External Tissue Expansion System to Assist in Primary Closure of a Large Anterolateral Thigh Donor Site Defect

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Andrew G. Silver ◽  
Richard C. Baynosa
Keyword(s):  
Primary Closure ◽  
Donor Site ◽  
Tissue Expansion ◽  
Skin Grafting ◽  
Flap Coverage ◽  
Anterolateral Thigh ◽  
Expansion System ◽  
Donor Site Defect ◽  
Alt Flap

Primary closure of a large anterolateral thigh (ALT) flap donor site defect with the assistance of an external tissue expansion system is presented. The dimensions of this donor site (12 cm × 40 cm) and its percentage of leg circumference (34%) would make this site likely to require skin grafting or further flap coverage based on the results of previously published literature.

scholarly journals Tissue Expansion Using Hyaluronic Acid Filler for Single-Stage Ear Reconstruction: A Novel Concept for Difficult Areas

2017 ◽  
Vol 37 (10) ◽  
pp. 1085-1097 ◽  
Author(s):  
Amir Inbal ◽  
Benjamin T Lemelman ◽  
Eran Millet ◽  
Andrew Greensmith
Keyword(s):  
Hyaluronic Acid ◽  
Tissue Expansion ◽  
Single Stage ◽  
Ear Reconstruction ◽  
Novel Concept

Wound Closure

2019 ◽  
pp. 21-32 ◽  
Author(s):  
David A. Daar ◽  
Maristella S. Evangelista
Keyword(s):  
Nutritional Status ◽  
Medical History ◽  
Negative Pressure ◽  
Primary Closure ◽  
Wound Closure ◽  
Tissue Expansion ◽  
Therapeutic Interventions ◽  
Wound Therapy ◽  
Wound Assessment ◽  
Patient Optimization

In order to successfully allow for healing, proper wound assessment and planning are of paramount importance. Proper wound closure relies on the optimization of patient and wound characteristics. Factors such as a patient’s age, nutritional status, medical history, medications, and current or previous therapeutic interventions all require consideration. In addition, wound characteristics such as size, shape, contamination, drainage, and odor must also be considered. This chapter will review important principles in wound assessment, patient optimization, and techniques for primary closure. Adjuncts of tissue expansion, dermal substitutes, and negative pressure wound therapy will also be covered briefly.

scholarly journals Tissue Expander Use for Reconstruction of Scalp Soft Tissue Sarcoma Wide Resection Defects

2020 ◽  
Vol 6 ◽  
pp. 2513826X2090350
Author(s):  
Matthew A. Strode ◽  
Robert F. Lohman ◽  
Kilian E. Salerno ◽  
John M. Kane
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Primary Closure ◽  
Soft Tissues ◽  
Tissue Expander ◽  
Soft Tissue Sarcomas ◽  
Tissue Expansion ◽  
Curative Treatment ◽  
Wide Resection ◽  
Preoperative Radiation

The potentially curative treatment for soft tissue sarcomas is wide resection. When located on the scalp, this can require removal of significant volumes of adjacent soft tissues as well as the skull periosteum. Consequently, reconstruction of the surgical defect is challenging. For patients receiving preoperative radiation or chemotherapy, gradual tissue expansion through the placement of a preoperative tissue expander can allow for primary closure of the wide resection defect, typically with hair-bearing scalp.

The Tissue-Based Triad in Augmentation Mastopexy: Single-Stage Technical Refinements

2019 ◽  
Vol 39 (12) ◽  
pp. 1331-1341 ◽  
Author(s):  
Kyle Sanniec ◽  
William P Adams
Keyword(s):  
Wound Care ◽  
Tissue Expansion ◽  
Single Stage ◽  
Level Of Evidence ◽  
Patient Demographics ◽  
Number Of Patients ◽  
Patient Database ◽  
Average Patient ◽  
Implant Size ◽  
Augmentation Mastopexy

Abstract Background The number of patients seeking augmentation mastopexy has increased over the last several decades. The conflicting goals of augmentation (tissue expansion) and mastopexy (tissue reduction) have led to higher revision rates, decreased patient satisfaction, and pending litigation. Some have even argued for staging of all augmentation mastopexy procedures. Objectives The goal of this study was to review the senior author’s (W.P.A.) process-oriented approach to single-stage augmentation mastopexy and to detail the technical framework to produce reliable, reproducible, safe results in a 1-stage augmentation mastopexy. Methods A prospectively collected patient database from January 2007 until January 2018 was reviewed. All single-stage augmentation mastopexy patients were evaluated, including patient demographics, operative details, complications, and outcomes. Results A total of 251 patients were evaluated. Mean follow-up was 16.9 months, average patient age was 38.0 years, and average implant size was 285.8 cc. A total of 9 (3.6%) patients required reoperation and only 2 (0.8%) required explantation. Fourteen (5.6%) patients developed delayed wound healing that responded to local wound care alone. Conclusions Utilization of a safe and reliable processed approach to single-stage augmentation mastopexy is highly predictable with low reoperation rates. The technical refinements presented have led to increased consistency in delivering high-quality results to patients in a procedure fraught with challenges. Level of Evidence: 4

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