What question did this study set out to answer?

To examine complications associated with pediatric tissue expanders and propose a management algorithm to improve outcomes.

Inflating Your Success: An Algorithmic Approach to Improving Outcomes in Pediatric Tissue Expansion

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Retrospective review assesses complications and outcomes of tissue expanders in pediatric patients, suggesting an algorithm for better management.

To examine complications associated with pediatric tissue expanders and propose a management algorithm to improve outcomes.
Conducted a retrospective review of pediatric patients with tissue expanders from 2014 to 2024.
Included patients under 18, excluding cases related to breast reconstruction.
Monitored complications at home with parent involvement in post-operative care.
Collected data on demographics, TE characteristics, indications, defect size, and outcomes.
Included 40 pediatric patients with 96 tissue expanders placed, median age of 5.2 years.
Most cases (62.5%) were for congenital skin lesions; scalp was the most common placement site (39.6%).
Complications occurred in 35.4% of expanders, with extrusion (17.7%) and infection (11.5%) as the most prevalent.
92.5% of patients achieved successful reconstruction despite complications, showcasing the effectiveness of the approach.

Green et al. (2026) studied this question.

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Retrospective review assesses complications and outcomes of tissue expanders in pediatric patients, suggesting an algorithm for better management.