Pre-expanded supraclavicular flap for reconstruction of neck contractures

Vu Quang Vinh1, Tran Van Anh1, Hoang Thanh Tuan1, Tong Thanh Hai1, Do Trung Quyet1, Luu Thu Thao1,, Hoang Tuan Hoang1, Khong Hanh Nguyen1
1 National Burn Hospital

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Abstract

The prevalence of neck burn scars was 10 - 15% among regions involved with burns sequelae. A neck scar contracture can severely and negatively affect the neck function, limit the ability to work as well as affect the mentality. Supraclavicular artery flap has many defining advantages of neck burn scar reconstruction, which are good cosmetic (its thinness and pliability, color and texture match).
To reconstruct large defects after excising post-burn neck scars, many types of research have been conducted to expand the dimension of the supraclavicular flap such as supercharging at the distal part of the flap, combining the tissue expansion technique with the supraclavicular flap. Pre-expanded supraclavicular flap is a thin flap with good cosmetic and functional outcomes, single-stage primary closure of the flap donor site without the need for microsurgery.
In this article, we report the results of the application pre-expanded supraclavicular flap in 7 patients with neck scar contracture, in order to expand the dimension of the flap and enhance the esthetic outcome in the donor site.

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References

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