Expanded occipito-cervico-pectoral flap for reconstruction of burned cervical contracture

• Published in: Burns Vol. 29; no. 8; pp. 842 - 844
• Main Authors: Motamed, S, Kalantar Hormozi, A.J, Marzban, S
• Format: Journal Article
• Language: English
• Published: Oxford Elsevier Ltd 01.12.2003; Elsevier Science
• Subjects: Adolescent; Adult; Biological and medical sciences; Burns; Burns - complications; Burns - surgery; Cervical contracture; Contracture - etiology; Contracture - surgery; Female; Humans; Male; Medical sciences; Neck Injuries - complications; Neck Injuries - surgery; o-c-p flap; Retrospective Studies; Skin plastic surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgical Flaps; Thoracic Wall; Tissue expansion; Tissue Expansion - methods; Tissue Expansion Devices; Traumas. Diseases due to physical agents; Cervical contracture; Tissue expansion; o-c-p flap; Skin disease; Occipitocervical; Pectoral muscle; Male; Surgery; ENT disease; Female; Neck; Flap (surgery); Expansion; Human; Reconstruction; Plastic surgery; Sequela; Trauma; Contracture; Burn; Case study; Treatment; Young adult; Skin; Technique
• ISSN: 0305-4179; 1879-1409
• DOI: 10.1016/j.burns.2003.06.001

Postburn neck contracture and hypertrophic scarring can cause functional limitation and aesthetic disfigurement. Reconstruction of severe deformities and scar of neck following healing from burns confronts the surgeon with some of the most challenging problems in reconstructive surgery. Through knowledge of available reconstructive technique accurate diagnosis of tissue deficiency and secondary distortion, imaginative planning and definitive, careful execution of ones surgical plan are the bare minimum items for achieving improvement in a burned deformed neck. The aim of this article is to assess the role of expanded occipito-cervico-pectoral (o-c-p) flap for reconstruction in a series of four patients with severe burn scar of neck and involvement of shoulder back but intact anterior aspect of chest. This is an alternative method of reconstruction burn scar of neck area.