Scar Clinical Trial
The purpose of this study is to evaluate whether autologous fat grafting is safe and/or effective to prevent expanded skin from expansion failure.
The repair of skin defects is a common problem for reconstructive surgeons.Soft tissue
expansion is a widely used technique for the repair of skin defects. Early expansion-related
complications such as skin thinning, telangiectasia, and striae may result in expansion
failure and ultimately jeopardize final outcome. In the past years, discontinuation of the
expansion procedure was the only therapeutic option, when early alarm signs such as
semitransparent appearance and telangiectasia of the expanded skin were encountered. We
aimed to overcome these complications by therapeutic fat grafting to prevent skin necrosis
and enable continuation of the expansion procedure.
Patients undergoing soft tissue expansion treatment for resurfacing skin lesions including
scars and nevi that required therapeutic intervention due to early complication signs were
included in this study. Patients were randomly divided into treatment group using autologous
fat grafting and control group with discontinued expansion and expectant management. The
treatment group received autologous fat transfer to the expanded skin.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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