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Tissue expansion has become a method of choice for immediate or delayed breast reconstruction. The compatibility of radiotherapy and tissue expansion is a growing problem. We analyse a series of 50 breast reconstructions by expansion, 24 without radiotherapy and 26 with radiotherapy. For the 24 patients without radiotherapy, very satisfactory cosmetic(More)
Skin expansion in breast reconstruction presents several specificities related to mastectomy, retromuscular dissection, and the oncological context. In delayed reconstruction (DR), the local clinical examination is essential to select indications and to eliminate high-risk cases (sequelae of radiotherapy, Halsted, etc.). Immediate reconstruction (IR) must(More)
The authors report their experience of skin expansion of the upper limb based on a series of 42 operated patients: shoulder (8 cases), arm (19 cases), forearm (5 cases) and hand (8 cases). The operative protocol must be rigorous in terms of the choice of prosthesis (shape and size) and the type of valve (internal or external) and in terms of the technique(More)
Skin expansion material has progressed and now covers all needs in plastic and reconstructive surgery. Breast reconstruction occupies a special place among expansion techniques and requires specific material. The skin expansion technique was approved by French Social Security in 1995 and is now covered in both the public and private sectors. The skin(More)
The filling period is a delicate phase of skin expansion procedures. Many of these difficulties are due to problems encountered during puncture of the valves when they are buried in the skin (pain, leaks, loss of the valve, inverted valve). The authors report their experience of the use of external filling valves. Based on a series of 68 valves, they(More)
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