Soft tissue expansion in the reconstruction of traumatic defects

Restoring form and function following traumatic soft tissue loss remains a formidable task. Temporary soft tissue expansion can be a significant aid in reconstructing complex defects. Soft tissue expansion may be utilized for advancing tissue immediately adjacent to a defect or for prepaing distant flaps. Expanded distant flaps possess an increased vascularity, increased dimensions, and may leave an inconspicuous donor site closed primarily. Adjacent tissue, when expanded, carries skin of matching color, texture, and hair-bearing characteristics. Scar at the site of reconstruction is minimized. Simplicity, patient acceptance, and improved aesthetic results recommend the use of this technique in selected patients