Correction of extensive neck contractures with local flaps and split- and full-thickness grafts.

Abstract:

:A technic of combined split-thickness and full-thickness skin grafts and local flap closure for extensive deep cicatricial neck contractures is presented. The head and neck are mobilized by excision of limiting tissues. The lateral neck skin is mobilized to be rotated anteriorly as flaps, and a full-thickness skin graft is applied to the central neck. Split-thickness skin grafts are placed below the full-thickness graft and flaps, and also above the full-thickness graft over the horizontal part of the neck. The success of this technic relies upon the limited contracture of full-thickness skin grafts, mobilization of lateral neck tissue, and consideration of regional units of the neck. This relatively simple operation results in a dramatic and lasting improvement of the neckline, good range of motion of the head and neck, elimination of multiple operative procedures, and early rehabilitation of the patient.

journal_name

South Med J

journal_title

Southern medical journal

authors

Vandeput JJ,Tanner JC,Lewis JR

doi

10.1097/00007611-197606000-00023

subject

Has Abstract

pub_date

1976-06-01 00:00:00

pages

738-40

issue

6

eissn

0038-4348

issn

1541-8243

journal_volume

69

pub_type

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