[Expanded deltopectoral flaps for treatment of cervical cicatricial contracture].
OBJECTIVE
To investigate the application of expanded deltopectoral flaps for treatment of cervical cicatricial contracture.


METHODS
The cervical cicatricial contracture was corrected in 18 cases with unilateral expanded deltopectoral flaps and 2 cases with bilateral expanded deltopectoral flaps. The size of scar ranged from 8 cm x 5 cm to 12 cm x 13 cm. The size of the unilateral expanded deltopectoral flaps ranged from 9 cm x 16 cm to 12 cm x 18 cm. The defects in donor sites were closed directly. The infraclavicula incision was designed. The flaps were delayed 3 weeks after flap transfer. The pedicle was cut off 4 weeks later.


RESULTS
From 2007 to 2009, 20 cases with cervical cicatricial contracture were treated with expanded deltopectoral flaps. All the flaps were survived. 6 cases were followed up for 6 months with satisfactory results in 5 cases and conspicuous scar in 1 case.


CONCLUSIONS
Expanded deltopectoral flap is very suitable for large size of cervical cicatricial contracture.
Ma
Xian-jie
XJ
Institute of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, No. 15 Chang Le Xi Lu, Xi'an 710032, China.
Peng
Pai
P
Zheng
Yan
Y
Guo
Shu-zhong
SZ
Han
Yan
Y
Lu
Kai-hua
KH
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery*; D004106:Dilatation / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D009333:Neck; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation; D013524:Surgical Flaps; D013909:Thorax; D055815:Young Adult