[1]Fudan University, Department of Plastic and Reconstructive Surgery,Shanghai,China
[2]s Hospital,Qingshuihe, Shenzhen,China
[3]Shanghai Jiaotong University,Shanghai,China
Background: Anterior cervical hypertrophic scars caused by severe burn are prone to contracture deformation. Even after multiple skin graft procedures, limitation of neck motion still occurs, especially in patients with hypertrophic scarring. This study examines the feasibility of associating the free scapular flap and platysmaplasty for reconstruction of recurrent neck contracture. Methods: Patients with severe scar contracture after multiple skin grafting and with hypertrophic scarring were under investigation. After complete release of the anterior cervical scar, a transection of platysma combined with suture fixation of platysma muscle flap to the surface of chin bone was performed, and the vascular anastomotic free scapular flap was covered. Functional exercise was strengthened postoperatively. Results: All flaps (12 cases) survived well with obvious improvement of neck motion and satisfactory appearance. Conclusions: Free scapular flap associated to platysmaplasty is one of the preferred alternatives for scar reconstruction in patients with recurrent neck contracture or severe hypertrophic scarring. Level of Evidence: Level IV, therapeutic study. © 2012 Springer-Verlag.
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