Our study included 25 patients with moderate to severe neck contracture .Three surgical
modalities were used : *-release and split thickness skin graft (10 cases) ,*- epaulet flap or
supraclavicular fasciocutaneous flap(7 cases) *-Z- plasty in( 8 cases).The overall
complication rate was 20% in the form of —partial loss of skin graft in the first modality (2
cases)-partial gapping of the donor area in second modality (2cases)and distal necrosis in
z-plasty ( 1 case)
The results were discussed and it was concluded that prophylaxis must be done to prevent
post burn contracture neck by splintage,early grafting and physiotherapy.But if the
contracture was already formed ,the coverage of the defect after the release is better
reconstructed by a flap (z-plasty—supraclavicular flaps) than to be reconstructed by split
thickness skin graft. |
