Interest of Thin Skin Flaps in the Treatment of Postburn Cervical Contractures: About Five Cases

OBJECTIVESThe use of thin skin flaps in the reconstruction of postburn cervical contractures associated with functional impacts. MATERIAL AND METHODSWe conducted a descriptive observational study on about five patients who had reconstruction of postburn cervical contractures using various thin skin...

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Bibliographic Details
Published in:Case reports in surgery 2019, Vol.2019, p.9879163-9879163
Main Authors: Ghorbel, I, Bouaziz, F, Bellaaj, H, Moaalla, S, Ennouri, Kh
Format: Report
Language:English
Online Access:Get full text
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Summary:OBJECTIVESThe use of thin skin flaps in the reconstruction of postburn cervical contractures associated with functional impacts. MATERIAL AND METHODSWe conducted a descriptive observational study on about five patients who had reconstruction of postburn cervical contractures using various thin skin flaps in a plastic surgery department. The follow-up period was ranged from 12 to 18 months. We determined the characteristics of the retraction according to the Vandenbussche classification, the indications of the flaps, and the functional and aesthetic results. RESULTSMost of our patients were young adults presenting segmental retraction of the neck associated with moderate functional impact. The occipito-cervico-dorsal flap was used in three cases. The occipito-cervico-shoulder flap was used in two cases. The aesthetic and functional results were satisfactory for all patients, but a "neck-collar" aspect of the cervical-chin angle was noticed. CONCLUSIONPostburn cervical contractures remain frequent. Their reconstruction is a difficult process as it is ideally done with a skin similar to the original one. The use of thin skin flaps seems to be an excellent option.
ISSN:2090-6900
DOI:10.1155/2019/9879163