Supraclavicular bilobed fasciocutaneous flap for postburn cervical contractures

Abstract

Anterior cervical contractures after burn are a common problem in the treatment of sequelae in burnt patients. The contracture itself and the hypertrophic scarring can cause functional limitation and aesthetic disfigurement. As a consequence, the reconstruction of this area is a challenge to surgeons that must choose a procedure, which improves functionality and aesthetic appearance in addition to reversing the contracture, the surgical goal of avoiding a new scar band over time is added. We present three patients with moderate (grade II) cervical contractures caused by suicide attempt and reconstructed by means of a bilobed flap based on the supraclavicular axis with the purpose of avoiding grafts in the donor area and performing it in a single procedure. This flap is useful and reliable for reconstruction of defects caused by cervical scars in non-collaborative and psychologically unstable patients. The anatomy, surgical procedure and results in our series are presented in this article.