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16- EVALUATION OF USING TISSUE EXPANDER FOR RECONSTRUCTION OF POST BURN ALOPECIA OF SCALP

Suzan Fadil Jabber --- Ari Raheem Qader

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2011 Volume: 17 Issue: 1 Pages: 117
Publisher: Basrah University جامعة البصرة

Abstract

Ari Raheem Qader*& Suzan Fadil Jabber@*Assistant Professor, Department of Surgery, College of Medicine, University of Sulaimania.@Diploma in plastic surgery, Department of Surgery, Sulaimania Plastic and Burn surgery Hospital.*Email:drzangana@yahoo.com, Mobile no.-009647701526316AbstractTissue expansion represents one of the major advances in surgery and is particularlyapplicable to burn reconstruction. The technique provides tissue of similar texture and color tothe defect to be covered and has the added advantage of minimal donor site morbidity.This study aimed to assess the results & complications in the correction of post burn scalpalopecia using a tissue expansion, prevention of implant extrusion, lower the infection rate intissue expansion and expander selection.Forty patients with scalp burn alopecia treated with tissue expansion of the scalp, wereincluded in this prospective study in Sulaimania hospital of burn and reconstructive surgery fromFebruary 2002 to September 2009 with age groups ranging from (4-30) years with an averageof 15.5 years. Twenty three patients were females.The time period between burn injury and reconstruction ranged between (4-25) years, theirscalp defects ranging between (5x10cm -13x25cm). We were able to completely reconstruct77.5% of the total patients with single or multiple sessions of expansions. The remaining 22.5%patients have benefited from reduction in the percentage of alopecia and recreation of anteriorhair line to camouflage their defects. Major complications occurred in 6 cases(15%), in whichthe expansion process interrupted with removal of the expander.In conclusion, It is not always possible to measure the absolute efficacy of a surgical techniqueor determine a general guideline its indication of the tissue expansion procedure althoughafflicted with a broad range of possible complications, the tissue expansion procedure remains avaluable and reliable technique for the reconstruction of post burn alopecia of the scalp.

Keywords

TISSUE EXPANDER --- POST BURN --- ALOPECIA