Controlled tissue expansion in reconstruction of post burn deformities of head and neck

Abstract

Reconstruction of post burn scars and contractures in the region of head and neck is a difficult task. Introduction of controlled tissue expansion has provided a versatile and reliable technique in management of these cases by providing skin of excellent quality and minimal donor site deformity. A review of forty-five (45) procedures carried out for reconstruction with controlled tissue expansion, between January 1994 and December 2003 is presented. Expanders of various shapes and sizes were used to achieve a fill volume ranging from 140 c.c to 470 c.c over a period of 9 to 12 weeks. Expander was reused in eight (8) expansions and three (3) patients with large defects underwent two or more expansions of the same area to achieve desired results. In 32 cases the procedure was completed without any complications whereas in 10 cases minor or major complications hampered or delayed eventual reconstruction. Only in 4 cases (8.8%) the reconstruction was compromised as a result of early complications. Controlled tissue expansion provides a safe and predictable technique for reconstruction in the region of Head and neck with acceptable rate of complications and provides excellent results.