The Journal of dermatologic surgery and oncology
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J Dermatol Surg Oncol · Dec 1993
Comparative StudyComparison of skin hooks and Foley catheters for immediate tissue expansion.
Immediate tissue expansion has been reported to expand skin sufficiently to permit primary closure of large facial defects up to 5 cm in diameter. ⋯ These findings support the concept that immediate tissue expansion is a separate and distinct process from undermining, which provides additional tissue for reconstructive surgery.
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Tissue expansion is of value in the repair of some defects produced by Mohs micrographic surgery. In particular, defects of the nose, forehead, temple and scalp as well as extensive defects in other areas may require expansion. ⋯ Intraoperative and rapid expansion are useful adjuncts to other repair options. Complications of expansion are frequent and must be anticipated.
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As surgeons face larger and more complex surgical defects, there is the continual search for more practical, successful, and cosmetically elegant methods for repair. Intraoperative tissue expansion is a relatively new technique built upon the fundamentals of traditional chronic tissue expansion. The Foley catheter is an inexpensive, readily available device that can be used for intraoperative tissue expansion. ⋯ The "tissue gain" achieved via this technique often facilitates wound repair. The Foley catheter is a useful device and a significant addition to the dermatologic surgeon's armamentarium.
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J Dermatol Surg Oncol · Dec 1993
Case ReportsPrimary reconstruction of congenital facial lesion defects with tissue expansion.
Congenital facial lesions may require surgical intervention to correct deformity or to decrease the potential for malignant degeneration. ⋯ Tissue expansion has a role in surgical management of congenital facial lesions. Staged excision, skin grafting and nonintervention are also options which must be individualized to the case at hand.