Farid A Khan, Fouad A Chaudhry, Lindsay Devenport, Awf A Quaba, Muhammad Ali Rafiq, Nadir Ali.
Tissue Expansion of Face and Scalp: Eleven Years Experience of Plastic Surgery Units in Edinburgh.
Ann King Edward Med Uni Jan ;7(3):165-7.

The following study reviews over eleven year period, involving both adult and paediatric patients, who have undergone tissue expansion for scalp and facial reconstruction in an attempt to identify those risk factors which predispose to complications. The study reviewed retrospectively all cases of tissue expansion of the scalp and face that were carried out at The Royal Hospital for Sick Children, Edinburgh and St. Johns Hospital, Livingston since 1988. This study involved the placement of 31 expanders in a total of 22 patients involving 26 two-stage surgical procedures (some patients had multiple expanders inserted simultaneously and 4 patients had a second complete expansion procedure). The average time taken to complete inflation was 13.5 weeks and was performed by the plastic surgery outpatient department, general Practitioner or a family member. The mean total length of hospital stay for insertion and removal of expander was 19 days (median 15 days). This included patients who had two sets of expansions but did not include time spent in hospital for subsequent revision surgery.

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