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Case No. 508
2019-02-01~2019-02-28
출제자 : 배윤정
Hit : 511
| Period | 2019-02-01~2019-02-28 |
|---|---|
| Diagnosis | Rupture (or Leakage) of tissue expander |
| Gender |
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| Age | 9 |
| Clinical information | M/9Y Bilateral microtia Current problem: Left post-auricular swelling, redness, pain, serous discharge What is your diagnosis? |
| Discussion | Rupture (or Leakage) of tissue expander CT: -Folding of tissue expander in left side -Air bubbles around the left side tissue expander -Regional soft-tissue swelling and infiltrations around the left side tissue expander Patient’s history: -Tissue expander insertion at bilateral postauricular area planning bilateral lobuloplasty Tissue expander -Tissue expanders are routinely used in a variety of reconstructive procedures. -The expanders allow the tissue to stretch prior to definitive reconstruction surgery in the region such as breast, head and neck, and chest wall. -The expansion has a relatively low complication rate. The incidence of device failure or rupture during expansion is rare (0~1.6%). -But, multiple potential etiologies for the rupture have been reported including trauma, over-expansion, capsular contracture, compressive force, and iatrogenic rupture during the process of filling the expander. |
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Correct Answer
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