9ęඈඋ1࣏ۘऺ: Chinese Journal of Tissue Engineering Research www.CRTER.org වẴ ղཨḳඈඋÍŬƫƊǶ3Ǖʉ3äƫǜ☭ǎ ÖàϬ , (ƿම⎱(Əˋã½Ŝ́Ȼã½ɻpbŜ́ɕ`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 Physician, ղཨÍŬƫ̲ղΧ¾ඊྡྷࢿΉǚ̩̲¯ƫඈඋ1࣏ Department of Cervicofacial Plastic and Reconstructive Skin soft tissue expansion: history, development, technical revolution and Surgery, China Academy of application innovation Medical Sciences & Peking Union Medical College, Huang Chang-jin, Song Wei-ming (Department of Cervicofacial Plastic and Reconstructive Surgery, Plastic 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 ղཨḳඈඋÍŬƫՈỆà᪅3ࡅȘ᪅ǎĄͥ ʳ
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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
ச⎡ńťනʞƏÍŬƫɴܯ5G,ŦƸ. ÍŬæ˝ȭ4ሳĭŢ^ÃồՈǒɀۘऺ[J]. [42] ྥ͜,ᾱʍȬ,еŌĚ. bFGFʐٸ [17] ę᪳ƚƾȣ, 2005, 5(3):432-433. ᾬ༘ȌàϬȭඈඋඊྡྷʺȪՈƽˑ[J].ŒϘƮ̲ƾȣ,2003, [18] Zeng YJ, Xu CQ, Yang J, et al. Biomechanical comparison 19(3):203-206. between conventional and rapid expansion of skin. Br J Plast [43] Tang Y, Luan J, Zhang X. Accelerating tissue expansion by Surg. 2003,56(7):660-666. application of topical papaverine cream. Plast Reconstr Surg. [19] . ղཨÍŬƫń๒ǭϘƮՈ ÖàϬȆᩬ[J]. ęĿћ๒ 2004;114(5):1166-1169. ǭ,2016,4(6):28-29. [44] Schneider MS, Borkow JE, Cruz IT, et al. The tensiometric [20] McCann JJ, Mitchell GM, O'Brien BM, et al. Comparative properties of expanded guinea pig skin. Plast Reconstr Surg. viability of expanded and unexpanded axial pattern skin flaps in 1988;81(3):398-405. pigs. Br J Plast Surg. 1988;41(3):294-297. [45] Johnson PE, Kernahan DA, Bauer BS. Dermal and epidermal [21] Collins SA, Swanson NA. Chronic tissue expansion. J Dermatol response to soft-tissue expansion in the pig. Plast Reconstr Surg Oncol. 1993;19(12):1090-1098. Surg. 1988;81(3):390-397. [22] Schneider MS, Wyatt DB, Konvolinka CW, et al. Comparison of [46] Pasyk KA, Austad ED, McClatchey KD, et al. Electron rapid versus slow tissue expansion on skin-flap viability. Plast microscopic evaluation of guinea pig skin and soft tissues Reconstr Surg. 1993;92(6):1126-1132. "expanded" with a self-inflating silicone implant. Plast [23] ਚµ,᯾Ȭ. ,ƧťනʞƏÍŬញาńղཨḳඈඋÍŬ͏ћ Reconstr Surg. 1982;70(1):37-45. ՈàϬ[J]. ę๒ǭĿƚƾȣ, 2001, 10(5):399-401. [47] Austad ED, Pasyk KA, McClatchey KD, et al. [24] Schmidt SC, Logan SE, Hayden JM, et al. Continuous versus Histomorphologic evaluation of guinea pig skin and soft tissue conventional tissue expansion: experimental verification of a after controlled tissue expansion. Plast Reconstr Surg. 1982; new technique. Plast Reconstr Surg. 1991;87(1):10-15. 70(6):704-710. .[Wang C, Yang S, Zhang J, et al. An Overview of Pre-expanded [48] ɏΟ,◑Ϣ,ᾡξͶ,. ղཨḳඈඋₑ̩ÍŬՈǺᢆۘऺ[J [25] Perforator Flaps: Part 1, Current Concepts. Clin Plast Surg. ŒϘƮ̲ƾȣ, 2006, 22(4):294-297. 2017; 44(1):1-11. [49] ᔒÅ,ϴƑႧ,ᰂᰨƻ,. ղཨÍŬȒᜬղ¾ඊྡྷŎĹɴᬥ! .ጧ)Œ,ŵŋ,S,. Ǒ̩ȷợÍŬͩńỤՈ ÖàϬ ǹۘऺ[J].ŒΓĐƾȣ, 2009, 25(6):437-440 [26] .[OĽǍՈǒɀۘऺ[D ऺ[J]. ƽȉĿ̓ƚƚĉ,2015,50(4):552-554. [50] ɏˌŒ.ղཨÍŬǝâ[ᜬղ¾ඊྡྷۘ .ȣ,ɏÏ·,. ÍŬղΧͼˈₓ^ƽ͔ɳՈǒɀۘऺ ͱ፝ǨĿƚ┦, 2010NJᑋᑋ, [27] [J].ŒϘƮ̲ƾȣ,2012,28(2):131-134. [51] ᔒÅ,┺Ձ˳,ᰂᰨƻ,.ƶ̬àǝâ[ᜬղ¾ඊྡྷՈ¬ƚ [28] Treiser MD, Lahair T, Carty MJ. Tissue Expander Overfilling: ǜĚ[J].ŒΓĐƾȣ, 2008, 24(1):39-41. Achieving New Dimensions of Customization in Breast [52] Sellheyer K, Krahl D. Skin mesenchymal stem cells: Reconstruction. Plast Reconstr Surg Glob Open. 2016;4(2):e612. prospects for clinical dermatology. J Am Acad Dermatol. 2010; [29] ƚ·,Ŭ#,ƍËΔ,. ᱉ₓÍŬղཨՈᜄϕₓΝǜ^ƽ͔ɳ 63(5):859-865. Ոǒɀۘऺ[J]. ŒϘƮ̲ƾȣ, 2005, 21(6):433-436. [53] Saxby PJ. Survival of island flaps after tissue expansion: a pig [30] Gabriel A, Champaneria MC, Maxwell GP. The efficacy of model. Plast Reconstr Surg. 1988;81(1):30-34. botulinum toxin A in post-mastectomy breast reconstruction: a [54] Timmenga EJ, Schoorl R, Klopper PJ. Biomechanical and pilot study. Aesthet Surg J. 2015;35(4):402-409. histomorphological changes in expanded rabbit skin. Br J [31] с5,NJͪˆ,ʀ¡Ò,. AƧཌྷɦɦṉQᾬղཨḳඈඋÍŬ Plast Surg. 1990;43(1):101-106. Ոϣĭƚۘऺ[J]. ę๒ǭĿƚƾȣ, 2012, 21(2):253-256. [55] Knight KR, McCann JJ, Vanderkolk CA, et al. The [32] NJͪˆ,с5,ɬČȃ,. AƧཌྷɦɦńQᾬḳඈඋÍŬՈà redistribution of collagen in expanded pig skin. Br J Plast Surg. Ϭ[J]. ę๒ǭĿƚƾȣ, 2008, 17(1):9-12. 1990;43(5):565-570. [33] Rosenblatt J, Viola GM, Reitzel RA, et al. Novel in situ liquefying [56] Siegert R, Weerda H, Loffler JA, et al. Epidermal proliferation antimicrobial wrap for preventing tissue expander infections rate after skin expansion in the dog model. following breast reconstructive surgeries. J Biomed Mater Res B Laryngorhinootologie. 1994;73(4):206-208. Appl Biomater. 2016;104(2):369-374. [57] Lee Y, Gil MS, Hong JJ. Histomorphologic changes of hair ;NJ☖̤.ɜʇⒸ̱ᯬ¾ඊྡྷńÍŬղཨͱẅࢿՈǒɀۘऺ[D]. Z follicles in human expanded scalp. Plast Reconstr Surg. 2000 [34] #Ở̓ƚ, 2011. 105(7):2361-2365. ɏÏ.ŎĿɜʇⒸ̱ᯬ¾ඊྡྷƯẟÍŬղཨ,ϣՈۘऺ[D]. Ἱ [58] Kim BJ, Lee Y. Use of scar and capsule flap for preventing the [35] 5Ŀƚ┦, 2011. contour deformity after applying tissue expansion in patients [36] ɏÏ,ᾕ˝,ƓǑɾ,.ŎĿɜʇⒸ̱ᯬ¾ඊྡྷࢿΉȴʌղཨÍŬ with scar. J Craniofac Surg. 2014;25(2):e151-154. άɋ[J]. ŒĿƚ๒ƚ๒ǭƾȣ, 2011, 17(4):298-300. [59] Jiayu Z, Qiaoli S, Qinghua Y, et al. [Experimental study of the [37] ŬΑγ,ⓒ᯾,ˌ,. ࿆ǡļ¾ඊྡྷȭÍŬղཨඈඋʺȪՈ influence of expanded capsule on biomechanics of ƽˑ[J]. Œǒɀ̲ƾȣ, 2016, 33(5):1424-1425. autograftedcostal cartilage]. Zhonghua Zheng Xing Wai Ke Za [38] Li Q, Zan T, Li H, et al. Flap prefabrication and stem cell-assisted Zhi. 2015;31(3):205-208. tissue expansion: how we acquire a monoblock flap for full face [60] Cherry GW, Austad E, Pasyk K, et al. Increased survival resurfacing. J Craniofac Surg. 2014;25(1):21-25. and vascularity of random-pattern skin flaps elevated in [39] Zhou SB, Zhang GY, Xie Y, et al. Autologous Stem Cell controlled, expanded skin. Plast Reconstr Surg. 1983; Transplantation Promotes Mechanical Stretch Induced Skin 72(5):680-687. Regeneration: A Randomized Phase I/II Clinical Trial. E Bio Med. [61] Pietramaggiori G, Liu P, Scherer SS, et al. Tensile forces 2016;13:356-364. stimulate vascular remodeling and epidermal cell proliferation [40] ࢪ%ች,̜ęᄳ,Ƀ̠,. ☦<ᾬӦҙϘƮàϬղཨḳඈඋ in living skin. Plast Reconstr Surg. 1983;72(5):680-687. ÍŬǎrhEGFՈάȘ[J]. Đ̲ƾȣ, 2016, 18(9): [62] Mustoe TA, Bartell TH, Garner WL. Physical, biomechanical, 537-540. histologic, and biochemical effects of rapid versus ;Ⓟ,Ɨች. Ůƽ෭Ǻ¤ợඈඋÍŬՈ ÖàϬۘऺ[J]. Œ conventional tissue expansion. Plast Reconstr Surg. 1989 [41] ϘƮ̲ƾȣ, 1999, 15(1):41-42. 83(4):687-691.
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
[63] Brobmann GF, Huber J. Effects of different-shaped tissue [86] Zan T, Gao Y, Li H, et al. Pre-expanded, Prefabricated expanders on transluminal pressure, oxygen tension, Monoblock Perforator Flap for Total Facial Resurfacing. Clin histopathologic changes, and skin expansion in pigs. Plast Plast Surg. 2017;44(1):163-170. Reconstr Surg. 1985;76(5):731-736. [87] Li QF, Zan T, Li H, et al. Reconstruction of Postburn Full Facial [64] Shively RE. Skin-expander volume estimator. Plast Reconstr Deformities With an Integrated Method. J Craniofac Surg. 2016; Surg. 1986;77(3):482-483. 27(5):1175-1180. еŌĚ,ᅂɍ̤.ղཨḳඈඋÍŬƫ[M].ě:ₕׂϦČࠂ. 1991: [88] Habal MB. Moving over the new horizons in reverse innovation [65] 1-23. for face reconstruction with composite grafts and flaps. J [66] еŌĚ,ᾱʍȬ,ᅂɍ̤,.ղཨÍŬƫ20À ÖàϬՈú2[J]. Craniofac Surg. 2014;25(3):727-728. ę๒ǭϘƮ̲ƾȣ, 2005, 16(4):209-210. [89] Pandya AN, Vadodaria S, Coleman DJ. Tissue expansion in the ğτ,ȸẢƌ,NJɨ,.ղཨÍŬ☦ࢳϟਜ਼Ոۘऺǎ ÖàϬ[J]. limbs: a comparative analysis of limb and non-limb sites. Br J [67] ϘƮỤ̲ƾȣ, 2004,1(1):31-34. Plast Surg. 2002;55(4):302-306. [68] Omranifard M, Heidari M, Farajzadegan Z. The volume of fluid [90] Yan C, Fischer JP, Wes AM, et al. The cost of major injected into the tissue expander and the tissue expansion. J complications associated with immediate two-stage Res Med Sci. 2014;19(12):1163-1166. expander/implant-based breast reconstruction. J Plast Surg [69] ᝅẂ,܄ȕ,Ŭ.ᩥਜ਼ƶṉäƫńḳඈඋÍŬƫՈ Öà Hand Surg. 2015;49(3):166-171. Ϭ[J]. ę๒ǭϘƮ̲ƾȣ, 2016, 27(5):300-303. [91] Patel PA, Elhadi HM, Kitzmiller WJ, et al. Tissue expander [70] van Rappard JH, Molenaar J, van Doorn K, et al. Surface-area complications in the pediatric burn patient: a 10-year follow-up. increase in tissue expansion. Plast Reconstr Surg. 1988;82(5): Ann Plast Surg. 2014;72(2):150-154. 833-839. [92] Belghith A, Jeblaoui Y, Njah H, et al. [Complications of head and [71] ƿම⎱,Λᱎᴋ,ɏş˪,. ඈඋÍŬƫńӦҙɳࢇǕǚ̩Ոà neck skin expansion]. Rev Stomatol Chir Maxillofac. 2012;113(5): ϬǎћάȆᩬ[J]. ę๒ǭĿƚ, 2006,15(2):134-135. 353-357. [72] Maitz PK, Pribaz JJ, Hergrueter CA. Impact of tissue expansion [93] Cunha MS, Nakamoto HA, Herson MR, et al. Tissue expander on flap prefabrication: an experimental study in rabbits. complications in plastic surgery: a 10-year experience. Rev Microsurgery. 1996;17(1):35-40. Hosp Clin Fac Med Sao Paulo. 2002;57(3):93-97. [73] The Hoang N, Kloeppel M, Staudenmaier R, et al. [94] Äᅷ,ɏ%%,z55,. ղཨḳඈඋÍŬา͑ƫͫɏՈ҉ŷ Neovascularization in prefabricated flaps using a tissue .ȭ+ۘऺ[J].ęͫɏȋ:ƾȣ, 2015,14(5):317-320 expander and an implanted arteriovenous pedicle. [95] ǃ,ɬɩ̤,ᆓ·,. ղཨḳඈඋÍŬา͑ᾬĹͫɏǎ͏ћ Microsurgery. 2005;25(3):213-219. Ոẟʉ[J]. ę๒ǭϘƮ̲ƾȣ, 2016, 27(1):56-58. [74] NJͧ,ɬČȃ,ǤË,.ˏźRϙᜄ<ᾬ8:ÍŬղΧǚ̩☦ [96] Cordeiro PG, McCarthy CM. A single surgeon's 12-year ᾬḳඈඋǃ[J]. ęǚ̩ₑņ̲ƾȣ, 2005, 19(2):130-132. experience with tissue expander/implant breast reconstruction: [75] ̯Ͷ, γ, NJͧ.ÑRϙ¬3☝&ʞrᜄՈÍŬ8:ղΧ part I. A prospective analysis of early complications. Plast Ո ÖàϬ[J].ŒϘƮ̲ƾȣ,1999, 15(3):183-186. Reconstr Surg. 2006;118(4):825-831. Ͷ,̔Ʒ,.ÑRϙਏၠˏźΧ&ʞrՈÍŬ8ȀղΧՈ̯,ϒ [76] [97] Friedman RM, Ingram AE, Jr., Rohrich RJ, et al. Risk factors for .ÖàϬۘऺ[J]. ę๒ǭĿƚ. 2009,18(5):597-600 complications in pediatric tissue expansion. Plast Reconstr Surg. [77] Leighton WD, Russell RC, Marcus DE, et al. Experimental 1996;98(7):1242-1246. pretransfer expansion of free-flap donor sites: I. Flap viability and expansion characteristics. Plast Reconstr Surg. 1988; [98] Pisarski GP, Mertens D, Warden GD, et al. Tissue expander 82(1):69-75. complications in the pediatric burn patient. Plast Reconstr Surg. [78] Maghari A, Forootan KS, Emami SA, et al. Microvascular 1998;102(4):1008-1012. reconstruction of soft tissue and bone loss in war wounds. [99] Tavares Filho JM, Belerique M, Franco D, et al. Tissue Scand J Plast Reconstr Surg Hand Surg. 1992;26(1):91-96. expansion in burn sequelae repair. Burns. 2007;33(2):246-251. [79] ̜ࠚɛ. 8ȀÍŬäࡿղΧࢿΉƫ[J]. ęǚ̩ₑņ̲ƾȣ, [100] Bozkurt A, Groger A, O'Dey D, et al. Retrospective analysis of 1996,10(2): 70-71. tissue expansion in reconstructive burn surgery: evaluation of [80] Gao Y, Yuan Y, Li H, et al. Preoperative Imaging for Thoracic complication rates. Burns. 2008;34(8):1113-1118. Branch of Supraclavicular Artery Flap: A Comparative Study of [101] McCarthy CM, Mehrara BJ, Riedel E, et al. Predicting Contrast-Enhanced Ultrasound With Three-Dimensional complications following expander/implant breast reconstruction: Reconstruction and Color Duplex Ultrasound. Ann Plast Surg. an outcomes analysis based on preoperative clinical risk. Plast 2016;77(2):201-205. Reconstr Surg. 2008;121(6):1886-1892. [81] Taylor GI, Corlett RJ, Dhar SC, et al. The anatomical [102] Neale HW, Kurtzman LC, Goh KB, et al. Tissue expanders in the (angiosome) and clinical territories of cutaneous perforating lower face and anterior neck in pediatric burn patients: arteries: development of the concept and designing safe flaps. limitations and pitfalls. Plast Reconstr Surg. 1993;91(4):624-631. Plast Reconstr Surg. 2011;127(4):1447-1459. [103] Huang X, Qu X, Li Q. Risk factors for complications of tissue [82] Liao Y, Luo Y, Lu F, et al. Pre-expanded Intercostal Perforator expansion: a 20-year systematic review and meta-analysis. Super-Thin Skin Flap. Clin Plast Surg. 2017;44(1):73-89. Plast Reconstr Surg. 2011;128(3):787-797. [83] Liu Y, Zang M, Zhu S, et al. Pre-expanded Paraumbilical [104] McCauley RL, Oliphant JR, Robson MC. Tissue expansion in Perforator Flap. Clin Plast Surg. 2017;44(1):99-108. the correction of burn alopecia: classification and methods of [84] Kulahci Y, Sahin C, Karagoz H, et al. Pre-expanded correction. Ann Plast Surg. 1990;25(2):103-115. Thoracodorsal Artery Perforator Flap. Clin Plast Surg. [105] Sharpe DT, Burd RM. Tissue expansion in perspective. Ann R 2017;44(1):91-97. Coll Surg Engl. 1989 ;71(3):175-181. [85] Feng S, Zhang Z, Xi W, et al. Pre-expanded Bipedicled Supratrochlear Perforator Flap for Simultaneous Reconstruction of the Nasal and Upper Lip Defects. Clin Plast Surg. 2017; 44(1): 153-162.
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