Treatment of burn alopecia with tissue expanders in children.

Abstract:

:During the past 18 months, 60 tissue expanders were utilized in the reconstruction of 42 children with burn alopecia of the scalp not amenable to a single excision and primary closure at the Shriners Burns Institute in Galveston, Texas. The children were grouped according to the degree of alopecia. All patients with defects of 15 percent or less of the total hair-bearing scalp were able to obtain complete closure of their defects with two operations, i.e., one to place the expander and the second to remove the expander and advance the flaps. Some patients with defects up to 40 percent were closed with serial expansion. Patients with even larger defects had a significant reduction in the percentage of alopecia and benefited from re-creation of anterior hairlines. We have encountered a postoperative complication rate of 10 percent. When compared to previous methods of treating burn alopecia, tissue expansion allows a more rapid closure, fewer operations and coincident anesthetics, and decreased total length of hospitalization.

journal_name

Plast Reconstr Surg

authors

Buhrer DP,Huang TT,Yee HW,Blackwell SJ

doi

10.1097/00006534-198804000-00005

subject

Has Abstract

pub_date

1988-04-01 00:00:00

pages

512-5

issue

4

eissn

0032-1052

issn

1529-4242

journal_volume

81

pub_type

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