title: Post burn contracture neck: clinical profile and management.
abstract: BACKGROUND
  Morbidity related to hypertrophic scars and contractures which are well known sequel after burns remains high and in fact has increased as more severely burned patients are surviving. This study was undertaken in order to assess the varied clinical presentation, precipitating factors, preventive measures, treatment modalities of neck contractures and evaluate the results after surgical procedures.
  
  
  METHODS
  This hospital based study was conducted on patients admitted in our institution with proven cases of Post burn neck contracture from 1st August 2009 to 31st July 2011. Twenty two patients of post burn neck contracture who underwent operative treatment were included.
  
  
  METHODS
  10 of 22 cases were in the middle age group i.e. between 21-30 years. There were 5 males and 17 females. Accidental flame burn was the commonest aetiology. Fourteen patients were treated within 1 year of burns for functional disability. Excisional release was performed in 13 and incisional release in 9 of our patients. Resurfacing with STSG (split thickness skin graft) was carried out in 19 cases and a local or regional flap with or without a graft in 3 patients. Hypertrophy and recontracture were the commonest late complications and occurred in 3 cases. Good to fair results were obtained in 19 patients
  
  
  CONCLUSIONS
  Local flaps have many advantages and are to be used whenever possible. It is preferable to place the grafts if used in the area surrounding the neck (donor site of flap) or at least in the non-visible area of the neck (submental area). When a combination of flap & graft is used, it's preferable to place the flap in a horizontal intersecting fashion in between the two patches of the graft. A follow up program for reasonable period is highly desired.
authors.affiliation: Ex- Registrar, Department of General Surgery, Goverment Medical College , Miraj, Maharashtra, India .
authors.forename: Nikunj Bhavesh
authors.initials: NB
authors.lastname: Mody
authors.affiliation: Ex- Registrar, Department of General Surgery, Goverment Medical College , Miraj, Maharashtra, India .
authors.forename: Sanket S
authors.initials: SS
authors.lastname: Bankar
authors.affiliation: Honarary Associate Professor, Department of General Surgery, Goverment Medical College , Miraj, Maharashtra, India .
authors.forename: Avinash
authors.initials: A
authors.lastname: Patil
keywords: Cervico-mandibular angle; Contracture; STSG