Supraclavicular bilobed fasciocutaneous flap for postburn cervical contractures.
Anterior cervical contractures after burn are a common problem in the treatment of sequelae in burnt patients. The contracture itself and the hypertrophic scarring can cause functional limitation and aesthetic disfigurement. As a consequence, the reconstruction of this area is a challenge to surgeons that must choose a procedure, which improves functionality and aesthetic appearance in addition to reversing the contracture, the surgical goal of avoiding a new scar band over time is added. We present three patients with moderate (grade II) cervical contractures caused by suicide attempt and reconstructed by means of a bilobed flap based on the supraclavicular axis with the purpose of avoiding grafts in the donor area and performing it in a single procedure. This flap is useful and reliable for reconstruction of defects caused by cervical scars in non-collaborative and psychologically unstable patients. The anatomy, surgical procedure and results in our series are presented in this article.
Laredo Ortiz
C
C
Hospital General Universitario de Alicante, C/Pintor Baeza s/n, 03010 Alicante, Spain. laredo_car@gva.es
Valverde Carrasco
A
A
Novo Torres
A
A
Navarro Sempere
L
L
Márquez Mendoza
M
M
D000328:Adult; D002056:Burns / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery*; D003286:Contracture / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019838:Neck Injuries / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D013406:Suicide, Attempted; D013524:Surgical Flaps; D013898:Thoracic Injuries / Q000601:surgery*; D014182:Transplantation, Autologous / Q000379:methods