9ęඈඋ1࣏ۘऺ: Chinese Journal of Tissue Engineering Research www.CRTER.org   වẴ ղཨḳඈඋÍŬƫƊǶ3Ǖʉ3äƫǜ☭ǎ ÖàϬ ,  (ƿම⎱(Əˋ͸ã͸½Ŝ́Ȼã½ɻpbŜ́ɕ`Ə̷KZhď 100144 ͂⑃ٸ (͂⑃ٸ)DOI:10.3969/j.issn.2095-4344.0147 ORCID: 0000-0002-3002-6055

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͟⏲᪑ ղཨḳඈඋÍŬƫ8ȀղΧඈඋƚඈඋȀņृΓղΧƽʻƚ¾ඊྡྷࢿΉղཨࢿΉŎĿ☦ᾬ ࢿΉƫǚ̩ₑņ ÖàϬ Huang Chang-jin, Master 'L᪑ candidate , ղཨÍŬƫ̲࢕ղΧ¾ඊྡྷࢿΉǚ̩̲࢕¯ƫඈඋ1࣏ Department of Cervicofacial Plastic and Reconstructive Skin soft : history, development, technical revolution and , China Academy of application innovation Medical Sciences & Peking Union Medical College, Huang Chang-jin, Song Wei-ming (Department of Cervicofacial Plastic and Reconstructive Surgery, Beijing 100144, China Hospital (Institute), China Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China) Corresponding author: Abstract Song Wei-ming, Master, Chief physician, Professor, BACKGROUND: Skin soft tissue expansion is a common surgical procedure to grow extra skin through Master’s supervisor, controlled mechanical over-stretch, which has been extensively applied in the tissue repair and reconstruction of Department of Cervicofacial plastic surgery through more than 30-year development. Plastic and Reconstructive OBJECTIVE: To review the history, development, technical revolution and application of the skin soft tissue Surgery, Plastic Surgery expansion and to give prospects. Hospital, Chinese Academy METHODS: A computer-based online search was conducted in CNKI and PubMed databases using the keywords of Medical Sciences & of “tissue expansion, tissue expander, histology, pre-expanded flap, prefabricated flap, perforator flap, imaging Peking Union Medical technology, skin transplantation, reconstructive surgical procedures, stem cells transplantation, clinical College, Beijing 100144, application” in English and Chinese, respectively. A total of 4 189 articles were retrieved, and finally 105 eligible China articles were included.

তේǻ:2095-4344(2018)08-01267-08 1267 .[,[J ƿම⎱. ղཨḳඈඋÍŬƫƊǶ3Ǖʉ3äƫǜ☭ǎ ÖàϬ ͂⑃ٸ ęඈඋ1࣏ۘऺ 2018 22(8):1267-1274. DOI:10.3969/j.issn.2095-4344.0147

RESULTS AND CONCLUSION: Skin soft tissue expansion, combined with prefabricated flap technique, perforator flap technique, imaging technology, and stem cell transplant, can build lager area of expanded flap, allowing us to repair more defected regions. Single prefabricated expanded flap is used in total facial reconstruction, known as “Chinese face shift”, which is better than the traditional allografts, marking a significant medical innovation in plastic surgery. Subject headings: Skin; Dilatation; Surgical Flaps; Stem Cell Transplantation; Reconstructive Surgical Procedures; Tissue Engineering

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1268 ISSN 2095-4344 CN 21-1581/R CODEN: ZLKHAH Huang CJ, Song WM. Skin soft tissue expansion: history, development, technical revolution and application innovation. Zhongguo Zuzhi Gongcheng Yanjiu. 2018;22(8):1267-1274. DOI:10.3969/j.issn.2095-4344.0147

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P.O. Box 10002, Shenyang 110180 www.CRTER.org 1269 .[,[J ƿම⎱. ղཨḳඈඋÍŬƫƊǶ3Ǖʉ3äƫǜ☭ǎ ÖàϬ ͂⑃ٸ ęඈඋ1࣏ۘऺ 2018 22(8):1267-1274. DOI:10.3969/j.issn.2095-4344.0147

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1270 ISSN 2095-4344 CN 21-1581/R CODEN: ZLKHAH Huang CJ, Song WM. Skin soft tissue expansion: history, development, technical revolution and application innovation. Zhongguo Zuzhi Gongcheng Yanjiu. 2018;22(8):1267-1274. DOI:10.3969/j.issn.2095-4344.0147

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P.O. Box 10002, Shenyang 110180 www.CRTER.org 1271 .[,[J ƿම⎱. ղཨḳඈඋÍŬƫƊǶ3Ǖʉ3äƫǜ☭ǎ ÖàϬ ͂⑃ٸ ęඈඋ1࣏ۘऺ 2018 22(8):1267-1274. DOI:10.3969/j.issn.2095-4344.0147

ᜬ 1 ղཨḳඈඋÍŬƫՈỆà᪅3ࡅȘ᪅ǎĄ෾ͥ ʳ

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ň້̌ŠৰPň້ȭۘऺʐ̔΅Ո᩾ϦɴՈ]঳ᜐ&ãĩ ᯧç4᩾5ǎՈƣϧĚċ3ϔǒ(ĉŐᩥਜ਼ƶϔǒß)ᩴơǎʳƨ ̵˾Ϳ^ˏˀěAΉĤĦΦƿŋŀ >ŭ+ƅ͟ᢈǎljƌ3 —ʐ⏄ɕ dzȉǛʴɡ4 Ή Ƀɕ͑ȧȆŮ4ƍKŰ তČƿতϦČQƾȣ>^͔Ŀň້Ǭƿ¦ੂึrČƿּ͟Ŵ ʠŧ~ũ5ΉƮ 2.13 ĆŜ́ȻãåɻƲĝ̃ǯĞŨ̀ĝ͑ȧKêĖɷˏ œᩲ4 ᪊͝—᩼dzœکŌ΢ቻǚ̌Šẝ«PઋŌ΢ቻǚত ʵǒ9 ˼ȻɇĝȌh͑ȧ4ƍĝ͓ȉȆٌö8Ɖı8̠ ᩲ:8ึȑ¤☢͊ɳūϬ¤ּȐ5ś͝—3.09ǝǒ ńȌˊšϬՈ̑ ſKƛɞŞ@͓ȉΆ˵ȅKEϟɻΊȀȥȺ4ƍK Ρ[ ̭᩼¦Ñ☢͊ɳֲՈȖzƣͱǭේṕ3᫇ϘʐÍʉ Ȑ ǕŸ9ĦſˎîĕƁΦʪěĖΰĨ8 ɲ8)́¦Ȍĝ r̭᩼çŁϬ›Ⓣᪿ3[ṁ3śᯡ3ČỖ3·Ŵ3̼௦3᱉൫⏂ȉ᪩ ƍƟǒƽjű͓8•b͓58¹ɲ͓5¸˄ȱȀ°ĵϙ Dz Â&7ņএ௦š ϬňḳâՈṗ͑ϔǒz͢ƷçŁȌͩϬỘ4 ͓ȉĤĦĴæø•b͓ȉĈ͇ĤĦ8̠ſ)J8ȆŮ ùÛ8Ƴ]ȆŮĤĦΤĚgŦ[44]K9ېø͑ȧ—ΦŒ8 4 dž໇Dz References [1] ɏ͈.ϘƮ̲࢕ƚ.Z͸[M]. ǩ*˳࢕ƚäƫϦČࠂ, 1999. Ɖı8̠ſ8ɀƷġȰijBʊ˵]ϟͻÎƕ˲ĝƥȻȆŮK [2] Neumann CG. The expansion of an area of skin by progressive [86] ɯξȐ˾͑ȧƗ Ȼãĝ like for like°õ EϟĤ distention of a subcutaneous balloon; use of the method for Ħ͓5ƗļˏLáɃ´Òl9ÆĤĦ͓5žu¦ȌĝŜ securing skin for subtotal reconstruction of the ear. Plast Reconstr Surg (1946). 1957;19(2):124-130. ́ȻãƍƟǒƽʕƽ ˕ĝjļKϦᜬ1 [3] Radovan C. Tissue expansion in soft-tissue reconstruction. Plast ͓ȉĤĦĴ͑ȧȆŮ4ƍžu˗jļY æÝʕ Reconstr. 1984;74(4):482-492. ĦſͿĦĦſĝǰ˗˾0îĝ͓ȉ4ƍZ!ùξĤ [4] Austad ED. Evolution of the concept of tissue expansion. Facial Plast Surg. 1988;5(4):277-279. Ħ͓ȉͻʭļ˼ĤĦͻʭ÷uKø͓5ĝfͻɻΊù [5] Radovan C. Breast reconstruction after using the ξZ"ĤĦ͓ȉĝƉı8֌8̠ſΛ͓ȉǓ͇(jɀƷ) temporary expander. Plast Reconstr Surg. 1982;69(2):195-208. ¸æΓƛɞĝ͓ȉ˵̵͔Z#ĕĴȔϝþZ$žu [6] Argenta LC, Watanabe MJ, Grabb WC. The use of tissue [105] expansion in head and neck reconstruction. Ann Plast Surg. æƗȧ͇KæƗȧĤĦ  1983;11(1):31-37. `ʭ͓ȉĤĦĴžu°ƭƗjļKĄƍƟƛΉ [7] Manders EK, Schenden MJ, Furrey JA, et al. Soft-tissue A8ƍƟlǦÇ̏î8˵ʩEƷšƷÛȁ0ɒɡΓ^Ȁ expansion: concepts and complications. Plast Reconstr Surg. 1984;74(4):493-507. ŭ¡ĄĆæȁˎƋĤĦ°ŨĝΡ~ΛǹBĤĦƍ [8] Austad ED. The origin of expanded tissue. Clin Plast Surg. Ɵĝlκį`ƘϠĦEƷšĝƷÛȁKȷ§ƍƟ̚ˌ 1987;14(3):431-433. [9] ŬPϣ,ₕPG. ղཨḳඈඋÍŬƫàϬzΓĐÖƛϘ̩(┈10ŷ ĉɎ)[J]. ŒϘƮΓĐ̲࢕ƾȣ,1985,1(4):241-243. 3ᩬ᩾Discussion  [10] ₕPG. ղཨḳඈඋÍŬƫ(DzවẴ)[J]. ŒϘƮΓĐ̲࢕ƾ ͓ȉĤĦĴfɡŜ́͑ȧȻãĝ@ʷƍƟĕƅ ȣ,1985,1(4):304-306. ƃǢ̵̀ĤĦΦĝΡƷ8͓ȉͻʭC͹͸RõĝξÏK [11] Ŭṍ,еŌĚ, ⚭˝,਍. ղཨÍŬƫᩥਜ਼ƶṉ­ϟₓ^᪂ᩥிඣՈ .ऺ^àϬ[J]. ŒϘƮ̲࢕ƾȣ, 2002, 18(5):305-307ۘ ͓ȉĤĦĴ§ʊ͓5ΧĴ8¤Ŧ͓5ΧĴ8Ŭ͸Χ [12] ᫱ƄŠ. ǎȕÍŬ„ղཨÍŬᢈǗǎ͢ÍŬȒḳඈඋՈƮɍƚΝ Ĵ8ȼˍF űΧĴ˵B˾K͓ȉĤĦĴĜ)ɢ8¯ ǜ[D]. ₑÒĿ࢕̓ƚ, 2010. ̵˼ƷĚKmΓĆ¯̵͇Dn§ʊĤĦ͓5ΧĴ˼ĤĦ [13] Ärত,ɋęQ,ǤÏϜ. ǎȕղཨÍŬ„ń☦<ᾬӦҙ͏ћՈ àϬ[J]. ę๒ǭĿƚƾȣ, 2006, 15(3):276-278. ¤Ŧ͓5ΧĴKĤĦ͓5ɻΊɯî8ͻɺɯǶȮKĤî [14] Borghi A, Rodgers W, Schievano S, et al. Design, Ƥ͑ȧNjɞKþƧʊĤĦ͓5͑ȧ.Φɻ͓ȉpȆŮ Manufacturing, and In Vitro Testing of a Patient-Specific 4ƍɯĆŜ́͑ȧȻãĝÿθ͇Ȕ͵Kcɡ Əˋü Shape-Memory Expander for Nose Reconstruction With Forehead Flap Technique. J Craniofac Surg. 2016;27(1): ͈ƌ03Ǡɻb űĴ˵ K^͛ġøɺǠ8!ɷ 188-190.  .[,̔Ǭ. ΝᄳՈÍŬ^ńඈඋÍŬƫՈ ÖàϬ[JĒڷ [ƅά8Ǧh0Ħ8Ƌ͉ŀjÒ̷ŨÚ [15AΉ÷ȓɷ& 0̔Kjγɒ3Ǡɻb űǒƽ͓ȉĤĦĴĝ^Ɔ ę๒ǭϘƮ̲࢕ƾȣ, 2014, 25(2):95-97. [16] }ë,Ŭ˷ᡃ,ǤŸ,਍. ᱉„ₓÍŬƯẟղཨḳඈඋÍŬ„ͱ- ¯̵˼ƷĚK ɡ͑ȧƗ ȻãĝƲ­Khóį̵ĝĮ ̶ťüՈÃồňϬ[J]. ę๒ǭĿƚƾȣ, 2004, 13(3):315-316.

1272 ISSN 2095-4344 CN 21-1581/R CODEN: ZLKHAH Huang CJ, Song WM. Skin soft tissue expansion: history, development, technical revolution and application innovation. Zhongguo Zuzhi Gongcheng Yanjiu. 2018;22(8):1267-1274. DOI:10.3969/j.issn.2095-4344.0147

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P.O. Box 10002, Shenyang 110180 www.CRTER.org 1273 .[,[J ƿම⎱. ղཨḳඈඋÍŬƫƊǶ3Ǖʉ3äƫǜ☭ǎ ÖàϬ ͂⑃ٸ ęඈඋ1࣏ۘऺ 2018 22(8):1267-1274. DOI:10.3969/j.issn.2095-4344.0147

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