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

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

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The surgery involves removing scarred and ulcerated tissues from previous tissue expansion sites on the scalp. Surgeons elevate and rotate expanded scalp flaps around right parietal and lateral areas to optimally cover defects with minimal tension and redundancy. Capsulotomies are performed to increase flap mobility. Bone remodeling from expanders creates soft tissue ridges, which are trimmed to reduce tension without bone removal. The rotation advancement technique, rather than direct translation, preserves hair follicles by minimizing tissue excision. Finally, sutures and staples secure the flaps, with drains placed through old scars to avoid new scarring, promoting natural scalp contour and hair density restoration.

Keywords

scalp surgery

tissue expansion

flap rotation

capsulotomy

hair follicle preservation