CaseReport
Tissue expansion as an option for reconstruction of craniofacial defects and alopecia area:
Report of two cases
SYLVIO LUIZ COSTA DE MORAES1,2,3 | ALEXANDRE MAURITY DE PAULA AFONSO1,3,4 | ROBERTO GOMES DOS SANTOS1,3 | RICARDO PEREIRA MATTOS1,3 | MARIANA BROZOSKI1 | JONATHAN RIBEIRO3,5 | BRUNO GOMES DUARTE6 | BRUNO COSTA FERREIRA1,4
ABSTRACT The repair of defects by restoring the cranial vault in some cases is difficult because of the scalps inextensible tissue, which results in the unavoidable exposure of neighboring areas, or even the material used in the reconstruction, which represents a potential risk of infection and consequent surgical losses. The purpose of this article is to describe the technique of scalp expansion as an adjuvant step for the correction of cranial vault contour and the alopecia area, associated with trauma and as a sequela of previous surgical time. We used non-customized 480ml silicone expanders (SILIMED - Comércio de Produtos Médico-Hospitalares, LTDA - Rio de Janeiro - Brazil), with external valve, on the scalp to enable correction of cranial vault and alopecia area associated with craniofacial trauma sequelae. Expansion procedures, techniques and recommendations for insertion and removal of the expander are described. The previous tissue expansion of the scalp is a feature that allows adequate recoating of the craniofacial region to be reconstructed, avoiding exposure of the biomaterial and allowing the correction of alopecia area. Keywords: Tissue expansion. Skull. Reconstruction.
Hospital São Francisco na Providência de Deus, Serviço de Cirurgia e Traumatologia Bucomaxilofacial, Crânio-Maxilo-Facial e Reparadora da Face (Rio de Janeiro/RJ, Brazil). Universidade Federal Fluminense, Serviço de Emergência do Hospital Universitário Antônio Pedro (Niterói/RJ, Brazil). 3 Centro Universitário São José (UNISJ, Rio de Janeiro/RJ, Brazil). 4 Hospital Federal de Bonsucesso, Serviço de Cirurgia e Traumatologia Bucomaxilofacial (Rio de Janeiro/RJ, Brazil). 5 Centro Universitário Serra dos Órgãos, Programa de Residência em Cirurgia e Traumatologia Bucomaxilofacial (Teresópolis/RJ, Brazil). 6 Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Cirurgia, Estomatologia, Patologia e Radiologia (Bauru/SP, Brazil). 1
How to cite: Moraes SLC, Afonso AMP, Santos RG, Mattos RP, Brozoski M, Ribeiro J, Duarte BG, Ferreira BC. Tissue expansion as an option for reconstruction of craniofacial defects and alopecia area: Report of two cases. J Braz Coll Oral Maxillofac Surg. 2019 Sept-Dec;5(3):56-63. DOI: https://doi.org/10.14436/2358-2782.5.3.056-063.oar
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Submitted: July 17, 2018 - Revised and accepted: August 15, 2018 » The authors report no commercial, proprietary or financial interest in the products or companies described in this article. » Patients displayed in this article previously approved the use of their facial and intraoral photographs. Contact address: Sylvio Luiz Costa de Moraes Rua: Conde de Bonfim, 211, sala 213, Tijuca – Rio de Janeiro/RJ CEP: 87.140-000 – E-mail: sdmoraes@yahoo.com.br
© Journal of the Brazilian College of Oral and Maxillofacial Surgery
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J Braz Coll Oral Maxillofac Surg. 2019 Sept-Dec;5(3):56-63
