The Journal of dermatologic surgery and oncology
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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.
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Tissue expansion is a concept based on the skin's natural ability to stretch in response to an underlying force. ⋯ Many soft tissue changes occur during tissue expansion. Most of these changes return to the pre-expansion state over time following discontinuation of the expansion process.
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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.