TY  - BOOK
AU  - Akram Ahmad Hezam Almshnanh 
AU  - Adel Michel Wilson , 
AU  - Ahmad Fathy Aborady , 
AU  - Mohammed Abdelmoneim Ameen , 
TI  - Comparative study between slow and rapid rate expansion of tissue expanders in the reconstructive surgeries / 
PY  - 2017///
CY  - Cairo : 
PB  - Akram Ahmad Hezam Almshnanh , 
KW  - Conventional expansion  rate
KW  - Rapid  expansion rate
KW  - Tissue expansion
N1  - Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery; Issued also as CD
N2  - Tissue expansion has become a major reconstructive modality over the past 30 years. Tissue expansion allows for reconstruction of defects with neighboring tissue of similar color, texture, sensation, thickness, and hair-bearing capability. Different rates of expansion have been described, and  in this study, we compared  the effects of the rapid rate (3 times per week )  versus the conventional slow rate (once  a week) in expansion  of tissue expanders. Over 12 months, 30 expanders were inserted in 23 patients .15 expanders were injected slowly (once a week). While 15 expanders were injected rapidly (3 times per week).  The  2 study groups were compared according to complications , skin flap viability and the satisfaction rate . The study results showed that the complication rate were nearly equal , and the skin flap quality in both was the same.But the patient satisfaction was very much with the rapid rate. So, we concluded that is no biological significant difference between the slow and rapid expansion rates. And  in the choosing of  the expansion rate, we  can make it individualized depending on the patient's tolerance and preference, but  certain measures should be taken in mind to  minimize the incidence of complications as selection of patients, detailed pre-operative instructions to the patients, an aseptic condition during injection sessions, and aggressive treatment at the occurrence of complications
UR  - http://172.23.153.220/th.pdf
ER  -