Supraclavicular bilobed fasciocutaneous flap for postburn cervical contractures

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• 作者：C. Laredo Ortiz ; A. Valverde Carrasco ; A. Novo Torres ; L. Navarro Sempere ; M. Má ; rquez Mendoza
• 关键词：Flap ; Reconstruction ; Hypertrophic scarring ; Burns
• 刊名：Burns
• 出版年：2007
• 出版时间：September 2007
• 年：2007
• 卷：33
• 期：6
• 页码：770-775
• 全文大小：1676 K

文摘

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.