Biomaterial Database

Skin expansion--a sword that "stretches" two ways: scalp expansion and bone erosion. 1990

J Penoff

Straub Clinic and Hospital, Honolulu, Hawaii.

Tissue expanders, which are used to enlarge the soft tissue of the scalp, eroded the outer table of the skull as well as a portion of the inner table. The patient in this case study is documented with photographs, and the entity of pressure due to skin expanders is discussed. A growing list of complications makes it important to be aware of the possible pitfalls of expanders and to discuss them with patients and/or their families, particularly when tissue expanders are used in children.

UI	MeSH Term	Description	Entries
D007223	Infant	A child between 1 and 23 months of age.	Infants
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012535	Scalp	The outer covering of the calvaria. It is composed of several layers: SKIN; subcutaneous connective tissue; the occipitofrontal muscle which includes the tendinous galea aponeurotica; loose connective tissue; and the pericranium (the PERIOSTEUM of the SKULL).	Scalps
D012886	Skull	The SKELETON of the HEAD including the FACIAL BONES and the bones enclosing the BRAIN.	Calvaria,Cranium,Calvarium,Skulls
D015625	Tissue Expansion Devices	Devices used to generate extra soft tissue in vivo to be used in surgical reconstructions. They exert stretching forces on the tissue and thus stimulate new growth and result in TISSUE EXPANSION. They are commonly inflatable reservoirs, usually made of silicone, which are implanted under the tissue and gradually inflated. Other tissue expanders exert stretching forces by attaching to outside of the body, for example, vacuum tissue expanders. Once the tissue has grown, the expander is removed and the expanded tissue is used to cover the area being reconstructed.	Tissue Expanders,Vacuum Tissue Expanders,Tissue Expanders, Vacuum,Device, Tissue Expansion,Devices, Tissue Expansion,Expander, Tissue,Expander, Vacuum Tissue,Expanders, Tissue,Expanders, Vacuum Tissue,Tissue Expander,Tissue Expander, Vacuum,Tissue Expansion Device,Vacuum Tissue Expander
D015626	Tissue Expansion	A procedure whereby the body is stimulated to generate extra soft tissue by the application of stretching forces that stimulate new growth of tissue which, over a period of time, results in a 2-dimensional expansion of the tissue. The procedure is used in reconstructive surgery for injuries caused by trauma, burns, or ablative surgery. Various types of TISSUE EXPANSION DEVICES have been developed that exert stretching forces.	Expansion, Tissue,Expansions, Tissue,Tissue Expansions
D062109	Dermatologic Surgical Procedures	Operative procedures performed on the SKIN.	Cutaneous Surgery,Cutaneous Surgical Procedures,Dermatologic Surgery,Skin Surgery,Cutaneous Surgeries,Cutaneous Surgical Procedure,Dermatologic Surgeries,Dermatologic Surgical Procedure,Procedure, Cutaneous Surgical,Procedure, Dermatologic Surgical,Procedures, Cutaneous Surgical,Procedures, Dermatologic Surgical,Skin Surgeries,Surgeries, Cutaneous,Surgeries, Dermatologic,Surgeries, Skin,Surgery, Cutaneous,Surgery, Dermatologic,Surgery, Skin,Surgical Procedure, Cutaneous,Surgical Procedure, Dermatologic,Surgical Procedures, Cutaneous,Surgical Procedures, Dermatologic