ABSTRACT
For management of nevus & various scars various methods are described like excision, skin grafting, dermabrasion, flap cover, dermatraction etc. but reconstruction of various scars by tissue expansion is a novel procedure. Aims & objectives: 1.Study of tissue expansion in the reconstruction of nevus & scars. 2. Advantage & disadvantages of tissue expansion. 3. Complications of tissue expansion. Methods: The study was conducted in SCB MCH, dept of Plastic surgery from October 2015 to April 2018. No. of patients in this study were 41 which includes post burn scars, post traumatic scars & nevus. Results: study includes age group from 11- 42 yrs with female predominance. It mainly includes post burn scars, facial scars. Neck was the most common site of expander used. Expander mostly used were rectangular type. Volume ranges from 50 to 540ml. Of total 46 expanders 5 cases two expanders used. Various complications of expanders included infection, blebs, hematoma, wound dehiscence etc of which extrusion of expanders were most common. Complications were more common in extremities. HTS & partial skin necrosis common scar related complication. Conclusion: Tissue expansion is an excellent technique to treat scars, pigmented lesions and alopetic patches. This provides the best tissue quality and matching as regards tissue characteristics. Flaps and skin grafts are inferior in treatment of these lesions when tissue expansion is possible. However this technique has its complications like infection, exposure and failure of expander. Therefore proper planning and selection of expander is extremely important.