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Lower
leg reconstruction and Scalp
reconstruction
Lower
leg reconstruction
This
woman had previously sustained a fracture of the tibia with loss
of skin which was initially treated with a skin graft. The subsequent
scar was unacceptable and soft tissue reconstruction was performed
after the fracture was healed. An tissue expander was inserted beneath
the skin of the posterior calf and progressively filled with saline
over several weeks. The skin created by this process allowed the
unsightly skin graft (and the expander) to be removed.
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| Initial
problem: An unsightly skin
graft |
Intermediate
stage: Expansion in progress
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A
range of tissue expanders
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Early
r esult: (12 weeks) The contour of the skin is progressively
settling and the scar slowly fading. The scar will continue
to improve for several years. |
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Extensive
Basal Cell Cancer of the scalp: Treatment and subsequent reconstruction
utilizing tissue expansion
This
patient had a large area of invasive basal cell carcinoma on the
scalp which was initially treated by excision and closure of the
wound with a skin graft. Two months later a tissue expander was
inserted beneath the adjacent skin of the scalp and progressively
expanded over several weeks. The skin created by this process allowed
the temporary skin graft to be removed and a superior cosmetic result.
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| Initial
problem: Ulcerated basal skin carcinoma |
Intermediate
stage: A skin graft has been used to re-surface the wound
after excision of the skin cancer. Whilst the skin cancer has
been completely removed the cosmetic result ispoor at this stage. |
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| A
range of tissue expanders |
End
of skin expansion process: A tissue expander has been placed
under the scalp and progressively filled with fluid to create
sufficient new skin so that the thin skin graft can be
removed. |
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| Final
Result: after tissue expander has been removed and the newly
created skin used to allow the skin graft to be removed for
an optimal aesthetic reconstruction |
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Jonathan
Stretch Plastic Surgeon D.Phil (Oxon) F.R.A.C.S.
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