Mohamed, E., El Shahat, A. (2019). Double V-Y Flaps for Post Burn Contracted Neck. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), 67-72. doi: 10.21608/ejprs.2019.65158
Eman Nagy Mohamed; Ahmad El Shahat. "Double V-Y Flaps for Post Burn Contracted Neck". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 1, 2019, 67-72. doi: 10.21608/ejprs.2019.65158
Mohamed, E., El Shahat, A. (2019). 'Double V-Y Flaps for Post Burn Contracted Neck', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), pp. 67-72. doi: 10.21608/ejprs.2019.65158
Mohamed, E., El Shahat, A. Double V-Y Flaps for Post Burn Contracted Neck. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(1): 67-72. doi: 10.21608/ejprs.2019.65158
The Department of Plastic Surgery, Faculty of Medicine, Ain Shams University
Abstract
Background: Several techniques have been defined to be used in surgical treatment of post burn contracted neck. But, there were many problems with those techniques, like failure of graft take and postoperative contracture of the graft. The commonest problem in those techniques was distal flap necrosis which is frequently seen. As most of these techniques were based on random-pattern flaps and there is usually a poor blood supply to the scar tissue. But, here in this study, we can benefit from expansion in the distal part of the upper chest and lower neck caused by continuous traction of the contracted band which leads to expansion of the surrounding tissue with excess skin. Aim of the Study: In this study, we aim to shift the excess tissue resulted from tissue expansion caused by traction of the contracture band from the base of the neck and upper chest to the upper neck by “double V-Y flaps” with direct closure of the donor site. Patients and Methods: 17 patients with post burn scarring of the neck were included in this study. 11 females and 6 males with average age 20 (9-32) years old. 9 patients with double linear contracture and 8 patients with band contracture. Release of post burn scarring of the neck by “double V-Y flaps” was done, the excess tissue of the flap was used and direct closure of the donor site was done. Results: The postoperative results represent the success of this technique in the surgical treatment of post burn scar contractures of the neck. All patients had an uneventful postoperative period with no distal flap necrosis. There was postoperative wound disruption in one patient that was managed by secondary sutures. The post burn scarring was successfully managed with this surgical technique “double V-Y flaps”, with no major postoperative complications. One year follow-up period revealed no recurrence of the contracted bands. Conclusion: “Double V-Y flaps” is a good technique in surgical treatment of post burn contracted neck with double linear or band contracture lines. This technique offers the patient a good chance for release of post burn contracted neck with no need to use graft or to wear postoperative neck collar.
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