Introduction and History
The development of tissue expansion has added another technique to the armamentarium of the head and neck surgeon for management of defects that cannot be closed primarily without undue tension. The observation that living tissues respond in dynamic fashion to mechanical forces placed upon them has been applied to the clinical problem of surgical defects; the technique of tissue expansion, based upon the application of this observation, has provided great advantages to the surgeon and patient. This technique has improved the ability of the surgeon to replace lost or surgically excised tissue with neighboring tissue of similar color, texture, sensation, and thickness. In addition, hair-bearing capability is retained, and a remote donor site is avoided.


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