title: Treatment of cervical contractures utilising a closed platysmotomy like approach: Case report and review of the literature.
abstract: Contractures to the cervical region as a result of burns has the capacity to cause restrictions in range of movement, function of the lower face, cervical spine distortion and poor aesthetic outcomes that remain a surgical challenge. Consequently, physical and aesthetic deformities as a result of cervical contractures are reported to cause depression having implications for patients' quality of life and psychosocial wellbeing. At the time this research was conducted, there were no case reports describing a closed platysmotomy approach in burn patients. In this article, we review the literature surrounding closed platysmotomies and present what we believe to be the first reported case in the treatment of cervical contractures utilising a closed platysmotomy approach in a burns patient. A closed platysmotomy approach for the treatment of cervical contractures is a less invasive technique. Further investigation is warranted to determine the feasibility of this reconstructive approach in the area of burn scar management.
authors.affiliation: The Department of Plastic & Reconstructive Surgery/Burns Unit, Sheba Medical Center affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Hashomer, Israel; Talpiot Medical Leadership Program, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Josef
authors.initials: J
authors.lastname: Haik
authors.affiliation: The Department of Plastic & Reconstructive Surgery/Burns Unit, Sheba Medical Center affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Hashomer, Israel. Electronic address: Daphna.prat@gmail.com.
authors.forename: Daphna
authors.initials: D
authors.lastname: Prat
authors.affiliation: School of Health Sciences, Faculty of Health, University of Tasmania, Australia; School of Nursing, Faculty of Health Sciences, University of Adelaide, Australia.
authors.forename: Rachel
authors.initials: R
authors.lastname: Kornhaber
authors.affiliation: The Department of Plastic & Reconstructive Surgery/Burns Unit, Sheba Medical Center affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Hashomer, Israel; Talpiot Medical Leadership Program, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Ariel
authors.initials: A
authors.lastname: Tessone
mesh_terms: D000293:Adolescent; D002056:Burns / Q000150:complications / Q000601:surgery*; D002648:Child; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D003646:Debridement; D004954:Esthetics; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000150:complications / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D015361:Rhytidoplasty / Q000379:methods*; D016038:Skin Transplantation; D000069259:Superficial Musculoaponeurotic System / Q000601:surgery*; D015626:Tissue Expansion
keywords: Bands; Burns; Case report; Cervical contractures; Closed platysmotomy; Strings