Background: Neck contracture after burns is a major complication that affects
function and cosmesis. The aim of covering the raw area and defects is through
using good quality pliable skin. Full thickness skin graft allows a large
dimension sheet of good quality skin with low donor-site morbidity. Also it
provides similar skin quality to the recipient areas with much less cosmetic
difference. Methods: Four men and eight women underwent neck contracture
release and reconstruction from December of 2015 to August of 2016. Mean
patient age was 29 years (range from12 to
46 years). Burn scar contracture releases were performed and cervicoplasty was
added for optimal neck appearance. Uniformly full thickness skin grafts were
applied. Both lateral ends of these grafts(release
incisions) were designed with a fishtail shape for sufficient release and to
minimize linear scar band formation in the most lateral region of the neck. Results: Full thickness skin grafts as large as 24± 12cm (in
length) and 10-15 cm (in width) were used. All grafts were taken without significant
complications. Range of neck motion
References
[1]
Wilson, I.F., Lokeh, A., Schubert, W. and Benjamin, C.I. (2000) Reconstruction of Neck and Axillary Burn Contractures. Plastic and Reconstructive Surgery, 105, 27-33.
https://doi.org/10.1097/00006534-200001000-00005
[2]
Antia, N.H. (1985) Organization of Plastic in Developing Countries. British Journal of Plastic Surgery, 38, 24-29. https://doi.org/10.1016/0007-1226(85)90082-7
[3]
Ohkubo, E., Kobayashi, S., Sekiguchi, J., et al. (1990) Restoration of the Anterior Neck Surface in the Burned Patient by Free Groin Flap. Plastic & Reconstructive Surgery, 84, 276-284.
[4]
Angrigiani, C. (1994) Aesthetic Microsurgical Reconstruction of Anterior Neck Burn Deformities. Plastic & Reconstructive Surgery, 93, 507-518.
https://doi.org/10.1097/00006534-199493030-00009
[5]
Tseng, W.S., Cheng, M.H., Tung, T.C., et al. (1999) Microsurgical Combined Scapular/Parascapular Flap for Reconstruction of Severe Neck Contracture: Case Report and Literature Review. The Journal of Trauma: Injury, Infection, and Critical Care, 47, 1142. https://doi.org/10.1097/00005373-199912000-00029
[6]
Ninkovic, M., Moser-Rumer, A., Ninkovic, M., et al. (2004) Anterior Neck Reconstruction with Pre-Expanded Free Groin and Scapular Flaps. Plastic and Reconstructive Surgery, 113, 61-68. https://doi.org/10.1097/01.PRS.0000090726.45594.6B
[7]
Engrav, L.H. and Donelan, M.B. (2006) Acute Care and Reconstruction of Facial Burns. In: Mathes, S. and Hentz, V., Eds., Textbook of Plastic Surgery, 2nd Edition, Elsevier and Saunders, Philadelphia, Vol. 3, 45-77.
[8]
Hyakusoku, H. and Gao, J.H. (1994) The “Super-Thin” Flap. British Journal of Plastic Surgery, 47, 457-464. https://doi.org/10.1016/0007-1226(94)90027-2
[9]
Ogawa, R. and Hyakusoku, H. (2003) Color Doppler Ultrasonography in the Planning of Microvascular Augmented Super-Thin (SVN: Subdermal Vascular Network) Flaps. Plastic and Reconstructive Surgery, 112, 822-828.
https://doi.org/10.1097/01.PRS.0000070176.30065.65
[10]
Mc Gregor, I.A., Ed. (1989) Fundamental Techniques of Plastic Surgery and Their Surgical Applications. 8th Edition, Churchill Livingstone, Edinburgh, 39-63.
[11]
Grabb, W.C. (1979) Basic Techniques of Plastic Surgery. In: Grabb, W.C. and Smith, J.S., Eds., Plastic Surgery, 3rd Edition, Little Brown, Boston, 3-74.
[12]
Jankauskas, S., Cohen, I.K. and Graff, W.C. (1991) Basic Techniques of Plastic Surgery. In: Smith, J.W. and Aston, S.J., Eds., Grabb and Smith’s Plastic Surgery, 4th Edition, Little Brown, Boston, 3-90.
[13]
Iregbulem, L.M. (1980) Post Burn Volar Digital Contractures in Nigerians. Hand, 12, 54-61. https://doi.org/10.1016/S0072-968X(80)80030-1