Bilobed Flap in the Release of Postburn Mentosternal Contracture

Aranmolate, Segun; Attah, A. A.

doi:10.1097/00006534-198902000-00030

Cited by 20 publications

(6 citation statements)

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“…Bhattacharya [6] excised the entire piece of scar tissue from the menton to the manubrium. Segun Aranmolate [17] tailored the excision of scars to the available bilobed flap, which he employed in 5 mentosternal contractures. Pappalardo [18] observed that there is no need to excise the scar unless it is redundant or excessively protuberant.…”

Section: Discussionmentioning

confidence: 99%

Post Burn Contracture Neck: Clinical Profile and Management

Mody

Bankar

Patil

2014

JCDR

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Background: Morbidity related to hypertrophic scars and contractures which are well known sequel after burns remains high and in fact has increased as more severely burned patients are surviving. This study was undertaken in order to assess the varied clinical presentation, precipitating factors, preventive measures, treatment modalities of neck contractures and evaluate the results after surgical procedures.

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Section: Discussionmentioning

confidence: 99%

Post Burn Contracture Neck: Clinical Profile and Management

Mody

Bankar

Patil

2014

JCDR

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“…As the retroauricular area is too small for large defects and the inner aspect of the upper arm may require free tissue transfer, the cervicohumeral shoulder region is well suited. 1,21 The main limitation of pedicle flaps in the shoulder region is the size and availability to cover the entire esthetic unit of the neck. By isolating the vascular pedicle and accompanying vein, the fasciocutaneous SIF flap gained increasing mobility …”

Section: Discussionmentioning

confidence: 99%

Postburn Head and Neck Reconstruction in Children With the Fasciocutaneous Supraclavicular Artery Island Flap

Pallua

Demir

2008

Annals of Plastic Surgery

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Postburn deformities or scar contractures in the head and neck region of children represent a challenge with unique problems compared with the rest of the body. Fourteen children suffered from neck contractures following burns, and 4 children required reconstruction following panfacial burn deformities. The experience of late-phase secondary burn reconstruction in the head and neck region of 18 pediatric patients (age range, 9-17 years) with 22 fasciocutaneous supraclavicular island flaps, including 5 preexpanded flaps, is reported. Clinical follow-up was performed between 10 and 29 months postoperatively. High functional and esthetic requirements could be fulfilled in all patients. Flap complications occurred in 9%, with low donor site morbidity (9%). The fasciocutaneous supraclavicular artery island flap is reliable and safe for immediate or late resurfacing of facial defects and to release cervical contractures. Customized flap design with tissue expansion without the need for microsurgery allows extended indications and optimized skin utilization, while good texture and color match is generally difficult to achieve in the head and neck region of severely burned children.

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“…The goals for treatment of any burn contracture are the complete release of all scar tissue, minimization of the risk of recurrence and restoration of a normal appearance (3,12). Many methods suitable for mild or moderate defects include z-plasties (1,13), local skin (14,15) or musculocutaneous flaps (16), tissue expansion (17), and sometimes, skin grafts in ideal patients (1,13). More extreme contractures, such as mentosternal adhesion involving the neck, imply an inadequate local tissue reserve and usually require more complex solutions for introducing new tissue into the defect.…”

Section: Discussionmentioning

confidence: 99%

The previously grafted forearm as a source of thin free flaps for release of neck burn contractures

Hallock

2000

CAN J PLAST SURG

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M odern splinting techniques have dramatically reduced but not totally eliminated the problem of burn contractures (1). Recidivism after surgical release is a universal concern directly related to problems with postoperative immobilization and patient compliance (2,3). For these reasons, the Chinese, in the early 1980s, sought a single staged method that would be both a reliable and permanent solution, resulting in the introduction of the Chinese flap, now known as the radial forearm free flap (4). This Chinese flap, initially used as a vascularized flap in lieu of skin grafts after release of neck burn contractures (2,3,5), has become widely accepted as a free flap or a pedicled flap for ipsilateral upper extremity flap coverage (5,6). The free flap's versatility can be attributed to its consistant anatomy, large calibre nutritive vessels that simplify any microanastomoses, potential as a sensory flap using either the medial or lateral antebrachial nerves, and because it is an important source of very thin and pliable skin coverage (2,5). However, the donor site defect

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Bilobed Flap in the Release of Postburn Mentosternal Contracture

Cited by 20 publications

References 0 publications

Post Burn Contracture Neck: Clinical Profile and Management

Post Burn Contracture Neck: Clinical Profile and Management

Postburn Head and Neck Reconstruction in Children With the Fasciocutaneous Supraclavicular Artery Island Flap

The previously grafted forearm as a source of thin free flaps for release of neck burn contractures

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