Applicability of self-inflating tissue expanders in pediatric patients with head and neck defects

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dc.contributor.authorKarameşe, Mehtap
dc.contributor.authorAkdağ, Osman
dc.contributor.authorYıldıran, Gökçe Ünal
dc.contributor.authorSelimoğlu, Muhammed Nebil
dc.contributor.authorTosun, Zekeriya
dc.date.accessioned2020-03-26T19:00:53Z
dc.date.available2020-03-26T19:00:53Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground Self-inflating tissue expanders have been used successfully in breast reconstruction, alopecia, scars, and anophthalmos. The expanders contain an osmotic active hydrogel and a silicon shell. The purpose of this study was to analyze our clinical experience using self-inflating tissue expanders in the treatment of alopecia and cleft palate defects in pediatric patients. Methods Twenty-eight self-inflating tissue expanders were used in 13 patients with alopecia or large cleft palate defects. Expander dimensions were determined by the size of the defect in the scalp and by using a sizer for the palate. In some patients, it was necessary to use more than one expander. A visual analog scale (VAS) and Children's Hospital of Eastern of Ontario Pain Scale (CHEOPS) were used to determine pain levels. Results Sufficient tissue was gained in nine patients (69.2%) and 11 of the 16 defects were repaired successfully (68.75%). We observed four implant extrusions as a major complication (14.2 %). Three of these four extrusions were seen in cleft palate expansions. Pain levels were as low as 5 points with CHEOPS in patients younger than 5 years old and 40mmwith VAS in patients older than 5 years of age. Conclusions Self-inflating tissue expanders comfortably ensure sufficient tissue in patients with alopecia; however, there is high risk of extrusion in cleft palate applications. Level of Evidence: Level V, therapeutic study.en_US
dc.identifier.doi10.1007/s00238-014-1033-6en_US
dc.identifier.endpage30en_US
dc.identifier.issn0930-343Xen_US
dc.identifier.issn1435-0130en_US
dc.identifier.issue1en_US
dc.identifier.pmid#YOKen_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage25en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00238-014-1033-6
dc.identifier.urihttps://hdl.handle.net/20.500.12395/31851
dc.identifier.volume38en_US
dc.identifier.wosWOS:000217756500004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofEUROPEAN JOURNAL OF PLASTIC SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectOsmotic expanderen_US
dc.subjectSelf-inflatingtissueexpanderen_US
dc.subjectAlopeciaen_US
dc.subjectCleft palate defecten_US
dc.titleApplicability of self-inflating tissue expanders in pediatric patients with head and neck defectsen_US
dc.typeArticleen_US

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