Pediatric Tissue Expansion: Techniques, Considerations, and Complications | Journal CME Article-Journal CME Article: Pediatric Tissue Expansion: Techniques, Considerations, and Complications (Video 2 of 3)

Journal CME Article: Pediatric Tissue Expansion: Techniques, Considerations, and Complications (Video 2 of 3)

Video Transcription

Video Summary

An 11-year-old girl with a large congenital pigmented nevus on her scalp and face underwent multiple reconstructive surgeries involving two tissue expanders. One on the right parietal scalp (175 ml capacity) was inflated to 135 ml; the left side’s 125 ml expander was partially deflated due to rupture. Using external ports, the team completed final hyperexpansion to 155 ml to stretch the tissue for easier advancement. During surgery, careful incisions were made over hair follicles to preserve hair-bearing tissue while avoiding expander rupture, using a scalpel and blunt electrocautery. The expander was successfully removed, preparing for tissue advancement and scar excision.

Keywords

congenital pigmented nevus

tissue expanders

scalp reconstruction

hyperexpansion

hair follicle preservation