Risk Factors for Complications in Pediatric Tissue Expansion

Risk Factors for Complications in Pediatric Tissue Expansion

Tissue expansion in children has been associated with complication rates of 20 to 40 percent. A critical analysis of 6 years' (1988-1993) experience with 180 expanders placed in 82 consecutive children was performed to identify those factors which predispose to complications. Major and minor co...

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Bibliographic Details
Published in:Plastic and reconstructive surgery (1963) Vol. 98; no. 7; pp. 1242 - 1246
Main Authors: Friedman, Ronald M, Ingram, A E, Rohrich, Rod J, Byrd, Steve H, Hodges, Patrick L, Burns, Jay A, Hobar, Craig P
Format: Journal Article
Language:English
Published: Hagerstown, MD American Society of Plastic Surgeons 01-12-1996
Lippincott Williams & Wilkins
Subjects:
Adolescent
Biological and medical sciences
Causality
Child
Child, Preschool
Humans
Infant
Medical sciences
Postoperative Complications - epidemiology
Risk Factors
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue Expansion - adverse effects
Human
Plasty
Tissue
Treatment
Surgery
Risk factor
Complication
Skin
Technique
Child
Expansion
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Summary:Tissue expansion in children has been associated with complication rates of 20 to 40 percent. A critical analysis of 6 years' (1988-1993) experience with 180 expanders placed in 82 consecutive children was performed to identify those factors which predispose to complications. Major and minor complications each occurred in 9 percent of patients.The factors associated with a statistically significant increase in complications were burns and soft-tissue loss, patient age under 7 years, use of internal expander ports, and a history of two or more prior expansions. In addition, complications were significantly more likely to occur within the first 90 days than during any subsequent expansion.Factors that did not influence complication rate included patient gender, wound drainage upon expander insertion or removal, intraoperative use of antibiotic irrigation, number of expanders placed, use of customized expanders, and operating surgeon.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0032-1052
1529-4242
DOI:10.1097/00006534-199612000-00019