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The osmotic tissue expander: a three-year clinical experience

Summary Closure of defects after trauma or excision of neoplasms is a basic skill in plastic surgery. Local, regional and distant flaps lead to additional scars. Skin recruitment by serial excision or skin expansion is a less damaging option for defects that must be closed. Advantages of tissue expa...

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Published in:	Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2009-09, Vol.62 (9), p.1219-1222
Main Authors:	Obdeijn, Miryam C, Nicolai, Jean-Philippe A, Werker, Paul M.N
Format:	Article
Language:	English
Subjects:	Adolescent Adult Advantages Aged Biological and medical sciences Child Clinical report Complications Dermatologic Surgical Procedures Elective Surgical Procedures Equipment Design Expansion Female Humans Hydrogel, Polyethylene Glycol Dimethacrylate Male Medical sciences Middle Aged Osmosis Osmotic Plastic Surgery Reconstructive Surgical Procedures - instrumentation Reconstructive Surgical Procedures - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Time Factors Tissue expander Tissue Expansion - instrumentation Tissue Expansion - methods Young Adult
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description	Summary Closure of defects after trauma or excision of neoplasms is a basic skill in plastic surgery. Local, regional and distant flaps lead to additional scars. Skin recruitment by serial excision or skin expansion is a less damaging option for defects that must be closed. Advantages of tissue expansion include good colour and texture match. Disadvantages are the need for a second operation, use of an implant with the attendant risk of infection, time needed for inflation of the device, repeat visits to the clinic, and punctures to inflate the expander. To overcome the last disadvantage, an osmotic expander was developed in Germany in 1999 by OSMED GmbH (Ilmenau).
doi_str_mv	10.1016/j.bjps.2007.12.088
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Local, regional and distant flaps lead to additional scars. Skin recruitment by serial excision or skin expansion is a less damaging option for defects that must be closed. Advantages of tissue expansion include good colour and texture match. Disadvantages are the need for a second operation, use of an implant with the attendant risk of infection, time needed for inflation of the device, repeat visits to the clinic, and punctures to inflate the expander. 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subjects	Adolescent Adult Advantages Aged Biological and medical sciences Child Clinical report Complications Dermatologic Surgical Procedures Elective Surgical Procedures Equipment Design Expansion Female Humans Hydrogel, Polyethylene Glycol Dimethacrylate Male Medical sciences Middle Aged Osmosis Osmotic Plastic Surgery Reconstructive Surgical Procedures - instrumentation Reconstructive Surgical Procedures - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Time Factors Tissue expander Tissue Expansion - instrumentation Tissue Expansion - methods Young Adult
title	The osmotic tissue expander: a three-year clinical experience
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