Systematic Review of Tissue Expansion: Utilization in Non-breast Applications.
Journal
Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
23
09
2020
accepted:
23
11
2020
entrez:
10
2
2021
pubmed:
11
2
2021
medline:
11
2
2021
Statut:
epublish
Résumé
Tissue expansion is a versatile reconstructive technique providing well-vascularized local tissue. The current literature focuses largely on tissue expansion for breast reconstruction and in the context of burn and pediatric skin/soft tissue replacement; however, less traditional applications are also prevalent. The aim of this study was to systematically review the utilization of tissue expansion in such less well-characterized circumstances. The authors conducted a systematic review of all publications describing non-breast applications of tissue expansion. Variables regarding expander specifications, expansion process, and complications were collected and further analyzed. A total of 565 publications were identified. Of these, 166 publications described tissue expansion for "less traditional" indications, which fell into 5 categories: ear reconstruction, cranioplasty, abdominal wall reconstruction, orthopedic procedures, and genital (penile/scrotal and vaginal/vulva) reconstruction. While lower extremity expansion is known to have high complication rates, tissue expander failure, infection, and exposure rates were in fact highest for penile/scrotal (failure: 18.5%; infection: 15.5%; exposure: 12.5%) and vaginal/vulva (failure: 20.6%; infection: 10.3%; exposure: 6.9%) reconstruction. Tissue expansion enables index operations by providing additional skin before definitive reconstruction. Tissue expanders are a valuable option along the reconstructive ladder because they obviate the need for free tissue transfer. Although tissue expansion comes with inherent risk, aggregate outcome failures of the final reconstruction are similar to published rates of complications without pre-expansion. Thus, although tissue expansion requires a staged approach, it remains a valuable option in facilitating a variety of reconstructive procedures.
Sections du résumé
BACKGROUND
BACKGROUND
Tissue expansion is a versatile reconstructive technique providing well-vascularized local tissue. The current literature focuses largely on tissue expansion for breast reconstruction and in the context of burn and pediatric skin/soft tissue replacement; however, less traditional applications are also prevalent. The aim of this study was to systematically review the utilization of tissue expansion in such less well-characterized circumstances.
METHODS
METHODS
The authors conducted a systematic review of all publications describing non-breast applications of tissue expansion. Variables regarding expander specifications, expansion process, and complications were collected and further analyzed.
RESULTS
RESULTS
A total of 565 publications were identified. Of these, 166 publications described tissue expansion for "less traditional" indications, which fell into 5 categories: ear reconstruction, cranioplasty, abdominal wall reconstruction, orthopedic procedures, and genital (penile/scrotal and vaginal/vulva) reconstruction. While lower extremity expansion is known to have high complication rates, tissue expander failure, infection, and exposure rates were in fact highest for penile/scrotal (failure: 18.5%; infection: 15.5%; exposure: 12.5%) and vaginal/vulva (failure: 20.6%; infection: 10.3%; exposure: 6.9%) reconstruction.
CONCLUSIONS
CONCLUSIONS
Tissue expansion enables index operations by providing additional skin before definitive reconstruction. Tissue expanders are a valuable option along the reconstructive ladder because they obviate the need for free tissue transfer. Although tissue expansion comes with inherent risk, aggregate outcome failures of the final reconstruction are similar to published rates of complications without pre-expansion. Thus, although tissue expansion requires a staged approach, it remains a valuable option in facilitating a variety of reconstructive procedures.
Identifiants
pubmed: 33564595
doi: 10.1097/GOX.0000000000003378
pmc: PMC7862073
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e3378Informations de copyright
Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
Déclaration de conflit d'intérêts
Disclosure: The authors have no financial interest to declare in relation to the content of this article.
Références
Urology. 2005 Jun;65(6):1216-8
pubmed: 15913727
Hernia. 2016 Dec;20(6):805-810
pubmed: 27785629
Ann Plast Surg. 1996 May;36(5):475-8
pubmed: 8743656
Ann Thorac Surg. 2005 Dec;80(6):2384-6
pubmed: 16305924
Clin Orthop Relat Res. 2000 Nov;(380):133-9
pubmed: 11064982
J Urol. 2018 Jan;199(1):206-214
pubmed: 28765066
Br J Plast Surg. 1999 Jun;52(4):268-75
pubmed: 10624292
J Plast Reconstr Aesthet Surg. 2017 Jun;70(6):741-751
pubmed: 28356202
Int J Pediatr Otorhinolaryngol. 2008 Aug;72(8):1251-9
pubmed: 18572254
Int J Oral Maxillofac Surg. 1994 Jun;23(3):137-9
pubmed: 7930765
Br J Plast Surg. 1990 Mar;43(2):241-3
pubmed: 2328387
Transpl Int. 2013 Dec;26(12):1184-90
pubmed: 24118196
Acta Neurochir (Wien). 2006 Mar;148(3):293-7; discussion 297
pubmed: 16391880
Br J Urol. 1992 Nov;70(5):554-7
pubmed: 1467865
J Craniofac Surg. 2019 May/Jun;30(3):838-840
pubmed: 30845080
Plast Reconstr Surg. 2011 Feb;127(2):621-629
pubmed: 21285767
Plast Reconstr Surg. 2014 Sep;134(3):464e-479e
pubmed: 25158724
Urology. 1993 May;41(5):426-30
pubmed: 8488609
J Pediatr Orthop. 1993 Nov-Dec;13(6):744-8
pubmed: 8245199
J Plast Reconstr Aesthet Surg. 2008;61 Suppl 1:S98-103
pubmed: 17768098
Biomed Res Int. 2014;2014:373286
pubmed: 24822198
Neurosurgery. 2012 Sep;71(1 Suppl Operative):15-20; discussion 21
pubmed: 22899488
Plast Reconstr Surg. 1994 Aug;94(2):379-83
pubmed: 8041832
J Urol. 2008 Oct;180(4 Suppl):1753-6
pubmed: 18721981
J Plast Reconstr Aesthet Surg. 2011 Sep;64(9):1145-51
pubmed: 21549651
Plast Reconstr Surg. 1996 Jun;97(7):1479-84
pubmed: 8643736
J Arthroplasty. 1997 Jun;12(4):475-8
pubmed: 9195326
J Craniomaxillofac Surg. 2015 Oct;43(8):1409-15
pubmed: 26189146
J Bone Joint Surg Br. 1990 Jul;72(4):578-80
pubmed: 2380207
Ann Plast Surg. 2014 May;72 Suppl 1:S14-7
pubmed: 24740019
J Pediatr Surg. 1991 Jan;26(1):22-5
pubmed: 2005519
Ann Thorac Surg. 2014 Dec;98(6):2211-3
pubmed: 25468093
Keio J Med. 1993 Mar;42(1):22-40
pubmed: 8479106
Acta Orthop Scand. 1994 Feb;65(1):99-100
pubmed: 8154296
Facial Plast Surg. 1988 Jul;5(4):338-46
pubmed: 3273278
Ann Plast Surg. 2014 Apr;72(4):398-401
pubmed: 24589517
Ann Plast Surg. 1988 Mar;20(3):272-6
pubmed: 3358621
J Sex Med. 2014 Jan;11(1):288-98
pubmed: 24024755
J Plast Reconstr Aesthet Surg. 2011 Nov;64(11):1448-53
pubmed: 21768005
Plast Reconstr Surg. 1988 Sep;82(3):521-4
pubmed: 3406187
J Bone Joint Surg Br. 1990 Jul;72(4):574-7
pubmed: 2380206
Pediatr Transplant. 2013 Nov;17(7):646-52
pubmed: 23992350
J Plast Reconstr Aesthet Surg. 2016 Jun;69(6):819-826
pubmed: 27084573
Ann Plast Surg. 2012 Jul;69(1):104-8
pubmed: 21659845
Urology. 2011 Dec;78(6):1424-9
pubmed: 22014594
J Plast Reconstr Aesthet Surg. 2009 Dec;62(12):1550-4
pubmed: 18848514
Ann Plast Surg. 2014 Sep;73 Suppl 1:S27-30
pubmed: 25115375
Pediatr Surg Int. 1997 Mar 21;12(2/3):168-71
pubmed: 9069225
Plast Reconstr Surg. 2010 Aug;126(2):101e-102e
pubmed: 20679809
Urology. 2006 Aug;68(2):419-22
pubmed: 16904467
Plast Surg (Oakv). 2018 Nov;26(4):244-249
pubmed: 30450342
Surg Neurol. 2007 Mar;67(3):291-5
pubmed: 17320641
Plast Reconstr Surg. 1992 Sep;90(3):520-3
pubmed: 1513903
Ann Plast Surg. 2016 Nov;77(5):555-559
pubmed: 28792430
Aesthetic Plast Surg. 2009 Jul;33(4):518-22
pubmed: 18839238
J Pediatr Surg. 1993 Jun;28(6):833-7
pubmed: 8331514
Ann Plast Surg. 2018 Dec;81(6S Suppl 1):S66-S70
pubmed: 30247190
J Arthroplasty. 1997 Jun;12(4):471-4
pubmed: 9195325
Int J Pediatr Otorhinolaryngol. 2012 Oct;76(10):1515-9
pubmed: 22835929
Plast Reconstr Surg. 1999 Jul;104(1):183-6
pubmed: 10597693
Plast Reconstr Surg. 2007 May;119(6):1759-1766
pubmed: 17440351
Ann Plast Surg. 1999 Mar;42(3):259-65
pubmed: 10096616
Aesthetic Plast Surg. 2020 Apr;44(2):365-372
pubmed: 31359087
Clin Plast Surg. 2017 Jan;44(1):129-141
pubmed: 27894573
J Craniofac Surg. 2010 Mar;21(2):543-51
pubmed: 20216441
J Bone Joint Surg Br. 1994 Jan;76(1):88-90
pubmed: 8300689
J Oral Maxillofac Surg. 2012 May;70(5):e361-8
pubmed: 22364860
Knee Surg Sports Traumatol Arthrosc. 2001 Jul;9(4):228-32
pubmed: 11522080
Am J Surg. 2004 Sep;188(3):301-6
pubmed: 15450838
J Urol. 2007 May;177(5):1872-7
pubmed: 17437839
J Plast Reconstr Aesthet Surg. 2008;61 Suppl 1:S70-6
pubmed: 18829408
Plast Reconstr Surg. 2012 Apr;129(4):956-963
pubmed: 22456365
Foot Ankle. 1993 Mar-Apr;14(3):117-22
pubmed: 8491423
J Arthroplasty. 2012 Mar;27(3):362-7
pubmed: 21855275
Plast Reconstr Surg. 2018 Dec;142(6):1558-1570
pubmed: 30489529
Plast Reconstr Surg. 1997 Aug;100(2):326-35
pubmed: 9252598
Childs Nerv Syst. 2004 Aug;20(8-9):567-75
pubmed: 15278380
Plast Reconstr Surg. 2008 Jan;121(1):359-360
pubmed: 18176271
Plast Reconstr Surg. 2009 Aug;124(2):510-518
pubmed: 19644267
J Craniofac Surg. 2016 Nov;27(8):1971-1977
pubmed: 28005736
Craniomaxillofac Trauma Reconstr. 2016 Nov;9(4):355-360
pubmed: 27833717
Foot Ankle Spec. 2017 Oct;10(5):473-479
pubmed: 28920485
J Plast Reconstr Aesthet Surg. 2016 Oct;69(10):1436-44
pubmed: 27496290
Plast Reconstr Surg. 2007 Nov;120(6):1564-1567
pubmed: 18040189
Br J Plast Surg. 1984 Oct;37(4):517-9
pubmed: 6498390
J Pediatr Surg. 1994 Apr;29(4):477-81
pubmed: 8014797
Ann Plast Surg. 2017 Nov;79(5):467-472
pubmed: 28953516
Br J Obstet Gynaecol. 1992 Sep;99(9):771-2
pubmed: 1420019
World J Surg. 2014 Apr;38(4):782-7
pubmed: 24276988
World Neurosurg. 2018 Jun;114:e1232-e1244
pubmed: 29625304
Acta Otolaryngol. 2007 Jul;127(7):705-10
pubmed: 17573566
Plast Reconstr Surg. 2010 Sep;126(3):150e-151e
pubmed: 20811202
Med J Armed Forces India. 2007 Apr;63(2):123-6
pubmed: 27407965
Facial Plast Surg. 2019 Feb;35(1):68-72
pubmed: 30566988
Ann Plast Surg. 2018 Dec;81(6):669-674
pubmed: 30412057
Am Surg. 2018 Mar 1;84(3):433-437
pubmed: 29559061
Plast Reconstr Surg. 1990 May;85(5):805-7; discussion 808
pubmed: 2326365
World Neurosurg. 2019 Jun;126:502-507
pubmed: 30904791
Craniomaxillofac Trauma Reconstr. 2017 Sep;10(3):216-224
pubmed: 28751947
Plast Reconstr Surg. 2000 Dec;106(7):1473-87
pubmed: 11129174
J Plast Reconstr Aesthet Surg. 2018 Jul;71(7):1097-1100
pubmed: 29653897
J Korean Surg Soc. 2013 Jan;84(1):61-5
pubmed: 23323238
J Plast Reconstr Aesthet Surg. 2011 Oct;64(10):1312-7
pubmed: 21703954
J Arthroplasty. 2008 Apr;23(3):476-9
pubmed: 18358393
J Craniofac Surg. 2019 Mar/Apr;30(2):581-583
pubmed: 30688808
Obstet Gynecol. 1996 May;87(5 Pt 2):865-8
pubmed: 8677118
Br J Obstet Gynaecol. 1991 Jun;98(6):564-8
pubmed: 1873246
J Craniofac Surg. 2013 Jan;24(1):175-7
pubmed: 23348280
Tokai J Exp Clin Med. 2015 Jun 20;40(2):76-80
pubmed: 26150188
Plast Reconstr Surg. 1993 Apr;91(4):720-5
pubmed: 8446727
J Pediatr Surg. 1993 Sep;28(9):1181-4
pubmed: 8308688
Aesthetic Plast Surg. 2006 Jul-Aug;30(4):455-9
pubmed: 16807668
Plast Reconstr Surg. 2007 Sep;120(3):669-680
pubmed: 17700118
Plast Reconstr Surg. 2011 Sep;128(3):787-797
pubmed: 21572375
J Plast Reconstr Aesthet Surg. 2008;61 Suppl 1:S59-69
pubmed: 18849209
Keio J Med. 2001 Mar;50 Suppl 2:109-19
pubmed: 11584500
J Pediatr Surg. 1998 May;33(5):768-70
pubmed: 9607496
J Craniomaxillofac Surg. 2015 Oct;43(8):1416-21
pubmed: 26189142
J Neurosurg. 2005 Dec;103(6 Suppl):544-8
pubmed: 16383254
Ann Plast Surg. 2000 Feb;44(2):147-53
pubmed: 10696040
Plast Reconstr Surg. 1990 Jul;86(1):119-22
pubmed: 2359778
Ann Plast Surg. 2017 Jun;78(6):680-683
pubmed: 27759585
J Trauma. 1992 Jan;32(1):82-6
pubmed: 1531077
Br J Plast Surg. 1999 Apr;52(3):217-22
pubmed: 10474475
J Bone Joint Surg Br. 1999 May;81(3):398-401
pubmed: 10872354
J Reconstr Microsurg. 1989 Jul;5(3):245-8
pubmed: 2769628
J Arthroplasty. 1996 Aug;11(5):512-21
pubmed: 8872568
Am Surg. 2017 Nov 1;83(11):1275-1282
pubmed: 29183531
J Plast Reconstr Aesthet Surg. 2010 Jan;63(1):28-35
pubmed: 19041289
J Plast Reconstr Aesthet Surg. 2014 Nov;67(11):1481-7
pubmed: 25213712
Plast Reconstr Surg Glob Open. 2013 Nov 07;1(7):e57
pubmed: 25289252
J Reconstr Microsurg. 2009 Jul;25(6):395-8
pubmed: 19391088
J Plast Reconstr Aesthet Surg. 2008;61(5):552-6
pubmed: 17977812
J Craniofac Surg. 2012 Sep;23(5):1296-300
pubmed: 22948643
J Med Dent Sci. 2000 Jun;47(2):105-16
pubmed: 12160182
Plast Reconstr Surg. 2006 Apr;117(4):1292-5
pubmed: 16582802
J Pediatr Surg. 2011 Feb;46(2):372-7
pubmed: 21292090
Plast Reconstr Surg. 1989 Aug;84(2):347-52
pubmed: 2526344
Br J Plast Surg. 1991 Jul;44(5):384-5
pubmed: 1873620
J Craniofac Surg. 2011 Jan;22(1):217-9
pubmed: 21233750
Ann Plast Surg. 2010 Jun;64(6):759-64
pubmed: 20489405
Am Surg. 2002 May;68(5):491-6
pubmed: 12013296
Plast Reconstr Surg. 2017 May;139(5):1200-1209
pubmed: 28445373
J Pediatr Surg. 1986 Dec;21(12):1198-200
pubmed: 2947990
Plast Reconstr Surg. 1999 Mar;103(3):779-86
pubmed: 10077066
J Pediatr Urol. 2014 Feb;10(1):142-7
pubmed: 23981679
Br J Obstet Gynaecol. 1988 Apr;95(4):402-7
pubmed: 3382615
Ann Plast Surg. 2010 Feb;64(2):183-6
pubmed: 20098104
Ann Plast Surg. 2019 Dec;83(6):687-692
pubmed: 31232822
Pediatr Transplant. 2014 Aug;18(5):E174-9
pubmed: 25041331
Ann Plast Surg. 1993 Oct;31(4):372-6
pubmed: 8239440
J Plast Reconstr Aesthet Surg. 2010 Aug;63(8):1275-8
pubmed: 19695972
Plast Reconstr Surg (1946). 1957 Feb;19(2):124-30
pubmed: 13419574
BJOG. 2000 Aug;107(8):1042-6
pubmed: 10955440
Plast Reconstr Surg. 2010 Oct;126(4):211e-213e
pubmed: 20885231
Plast Reconstr Surg. 2018 Jul;142(1):170-179
pubmed: 29952898
Plast Reconstr Surg. 2009 Apr;123(4):1378-1383
pubmed: 19337106
Plast Reconstr Surg. 1999 Jul;104(1):29-40
pubmed: 10597671
Br J Plast Surg. 1992 Feb-Mar;45(2):155-9
pubmed: 1562840
Plast Surg (Oakv). 2014 Spring;22(1):39-43
pubmed: 25152646
Clin Otolaryngol. 2019 May;44(3):437-442
pubmed: 30735007
J Pediatr Orthop. 2005 May-Jun;25(3):353-6
pubmed: 15832154
J Craniofac Surg. 2012 Jan;23(1):67-70
pubmed: 22337376
Ulus Travma Acil Cerrahi Derg. 2015 Dec;21(6):457-62
pubmed: 27054636
J Plast Reconstr Aesthet Surg. 2017 Jun;70(6):752-758
pubmed: 28286041
J Bone Joint Surg Am. 1987 Oct;69(8):1238-40
pubmed: 3667652
J Am Coll Surg. 2003 Mar;196(3):484-8
pubmed: 12648704
Plast Reconstr Surg. 2006 Aug;118(2):374-82
pubmed: 16874205
Ann Plast Surg. 2010 Apr;64(4):428-34
pubmed: 20224343
Turk Neurosurg. 2017;27(2):201-207
pubmed: 27593759
Br J Plast Surg. 1997 Sep;50(6):456-62
pubmed: 9326150
Br J Plast Surg. 2004 Sep;57(6):575-8
pubmed: 15308408
J Plast Reconstr Aesthet Surg. 2016 Oct;69(10):1430-5
pubmed: 27515541
Ann Plast Surg. 1988 Jul;21(1):70-3
pubmed: 3048186
J Craniofac Surg. 2012 Nov;23(7 Suppl 1):2004-10
pubmed: 23154370
J Pediatr Surg. 1991 Jan;26(1):26-9
pubmed: 1826029