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Corresponding Author

Amr Mohamed Abd Elbaset Mohamed

Document Type

Original Article

Abstract

Background: Contracture of the neck following a burn remains a significant complication and a serious challenge for plastic surgeons. It results in functional, cosmetic, & social complications.

Aim and objectives: To evaluate the pre-expansion of the supraclavicular flap in the reconstruction of moderate to severe post-burn contracted neck and lower face in terms of aesthetic and functional results at both donor and recipient sites.

Patients and methods: This was prospective cross-sectional research performed on ten patients with moderate to severe post-burn contracted neck and lower face reconstructed at the Department of Plastic Surgery and Burns at Al Hussein and Sayed Galal Hospitals, Faculty of Medicine, Al-Azhar University.

Results: Expansion of the supraclavicular flap provides a large flap dimension for neck contracture and direct closure for the donor site without tension. The mean hospital stay was 6.2 days, and in early post-operative follow-up, one case of seroma and hematoma, which resolved spontaneously, one case of distal necrosis responded to enzymatic debridement and local wound care, and one case of partial dehiscence. There was a statistically significant improvement in neck extension and cervical-mental angle post-operative than pre-operative p=0.01, and 50% of patients showed excellent satisfaction results, 40% showed good satisfaction, while 10% accepted their end results.

Conclusion: Expansion of the supraclavicular flap for post burn contracted neck reconstruction is an excellent, reliable, thin flap with good texture, minimal donor site morbidity, and good color match.

Keywords

Supraclavicular Flap; Reconstruction; Post Burn; Contracted Neck

Subject Area

Plastic surgery

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