Easy Way of Choosing Rectangular Expander and Getting Maximum Benefit From Expanded Tissue

NCT ID: NCT03544697

Last Updated: 2018-06-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

19 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-01-31

Study Completion Date

2018-01-31

Brief Summary

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Background: Tissue expanders are widely used for reconstruction of tissue defects. The choice of expander and planning the flap is complicated for the inexperienced surgeon.

Objective: To demonstrate the choice of expander sizes proper for the tissue defect and maximum advancement technique during the defect coverage.

Methods: The present study included 19 patients who were operated between January 2013 and January 2017. The expander projection was chosen in the manner that it would be more than the half length of the defect to be occurred and the expander width was chosen as wide as possible based on the area of its placement. After the expansion was completed, advancement method was used to cover the defect.

Detailed Description

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Conditions

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Burn Scar Scalp Wound

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Skin expansion and repair with flaps

The tissue expander was inserted into the scalp in 17 patients and supraclavicular area in two patients.

Skin expansion and repair with flaps

Intervention Type PROCEDURE

Interventions

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Skin expansion and repair with flaps

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients treated with rectangular tissue expanders.
* Patients who attended to at least postoperative six months control.

Exclusion Criteria

* Patients treated with tissue expanders other than rectangular expanders.
* Patients who did not attend to postoperative controls.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Izmir Katip Celebi University

OTHER

Sponsor Role lead

Responsible Party

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Ersin Aksam

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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NEUMANN CG. The expansion of an area of skin by progressive distention of a subcutaneous balloon; use of the method for securing skin for subtotal reconstruction of the ear. Plast Reconstr Surg (1946). 1957 Feb;19(2):124-30. doi: 10.1097/00006534-195702000-00004. No abstract available.

Reference Type BACKGROUND
PMID: 13419574 (View on PubMed)

Radovan C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg. 1982 Feb;69(2):195-208. doi: 10.1097/00006534-198202000-00001.

Reference Type BACKGROUND
PMID: 7054790 (View on PubMed)

Pamplona DC, Velloso RQ, Radwanski HN. On skin expansion. J Mech Behav Biomed Mater. 2014 Jan;29:655-62. doi: 10.1016/j.jmbbm.2013.03.023. Epub 2013 Apr 19.

Reference Type BACKGROUND
PMID: 23651568 (View on PubMed)

Radovan C. Tissue expansion in soft-tissue reconstruction. Plast Reconstr Surg. 1984 Oct;74(4):482-92. doi: 10.1097/00006534-198410000-00005.

Reference Type BACKGROUND
PMID: 6484035 (View on PubMed)

Manders EK, Schenden MJ, Furrey JA, Hetzler PT, Davis TS, Graham WP 3rd. Soft-tissue expansion: concepts and complications. Plast Reconstr Surg. 1984 Oct;74(4):493-507. doi: 10.1097/00006534-198410000-00007.

Reference Type BACKGROUND
PMID: 6484036 (View on PubMed)

Hudson DA. Maximising the use of tissue expanded flaps. Br J Plast Surg. 2003 Dec;56(8):784-90. doi: 10.1016/s0007-1226(03)00379-5.

Reference Type BACKGROUND
PMID: 14615253 (View on PubMed)

Pamplona DC, Weber HI, Leta FR. Optimization of the use of skin expanders. Skin Res Technol. 2014 Nov;20(4):463-72. doi: 10.1111/srt.12141. Epub 2014 Feb 17.

Reference Type BACKGROUND
PMID: 24527999 (View on PubMed)

Kiyokawa K, Rikimaru H, Inoue Y, Tai Y. A new concept and technique for reconstructing skin defects in the cheek region: an unfolded cube advancement flap. Plast Reconstr Surg. 2004 Mar;113(3):985-91. doi: 10.1097/01.prs.0000105045.57704.44. No abstract available.

Reference Type BACKGROUND
PMID: 15108895 (View on PubMed)

Ueda K, Hara M, Okada M, Kurokawa N, Otani K, Nuri T. Lambda incision for effective tissue expansion. J Plast Reconstr Aesthet Surg. 2010 Oct;63(10):1682-7. doi: 10.1016/j.bjps.2009.09.015. Epub 2009 Nov 11.

Reference Type BACKGROUND
PMID: 19906567 (View on PubMed)

Yenidunya MO. The bi-lobed flap design on expanded skin of the face and neck region. Plast Reconstr Surg. 1998 May;101(6):1741-2. doi: 10.1097/00006534-199805000-00066. No abstract available.

Reference Type BACKGROUND
PMID: 9583521 (View on PubMed)

Other Identifiers

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IzmirKCU-Plastik1

Identifier Type: -

Identifier Source: org_study_id

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