Pediatric Tissue Expansion: Techniques, Considerations, and Complications | Journal CME Article-Journal CME Article: Pediatric Tissue Expansion: Techniques, Considerations, and Complications (Video 1 of 3)

Journal CME Article: Pediatric Tissue Expansion: Techniques, Considerations, and Complications (Video 1 of 3)

Video Transcription

Video Summary

An eight-year-old with a dog bite scar on the face undergoes tissue expansion to recruit adjacent skin without distorting critical facial structures like the eyelid. The expander is placed through the existing scar on the cheek to avoid new scarring, with a microport positioned post-auricularly for discreet access. Careful dissection ensures proper expander placement without folding, minimizing herniation risk. The tubing is positioned beneath the expander to prevent tissue erosion. The expander is pre-filled with a methylene blue-saline mix to confirm functioning, facilitating safe weekly expansions and effective future scar excision with minimal aesthetic impact.

Keywords

tissue expansion

dog bite scar

facial reconstruction

microport placement

methylene blue-saline mix